Karen Anne Blundon, PA-C
Physician Assistant in Springfield, OR. Individual provider (NPI-1).
NPI number1447561899
StatusActive
Last updated in NPPESJan 26, 2015
Details
- NPI
- 1447561899
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Karen Anne Blundon
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 30, 2010
- Last updated
- Jan 26, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA152196 | OR | Yes |
| 363AM0700X | Physician Assistant, Medical | PA152196 | OR |
Other names
- Karen Anne Cogswell Bolduc (Former Name)
Practice location
2073 Olympic StSpringfield, OR 97477-3413
Phone 541-682-3550 · Fax 541-682-3551
Mailing address
2073 Olympic StSpringfield, OR 97477-3413
Phone 541-682-3550 · Fax 541-682-3551
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