| Doctor Name: | KAROLINE WOITKE |
| NPI Number: | 1215046172 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C |
| License Number: | PA00647 |
| Business Practice Address: | 21810 Willamette Dr West Linn, OR - 970683256 |
| Business Phone Number: | 5036566603 |
| Business Fax Number: | 5035578012 |
| Mailing Address: | 21810 Willamette Dr, WEST LINN |
| State: | OR |
| Postal Code: | 970683256 |
| Phone Number: | 5036566603 |
| Fax Number: | 5035578012 |
| NPI Enumeration Date: | 08/30/2006 |
| NPI Last Update Date: | 01/07/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | PA00647 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OR |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |