Doctor Name: | KAREN B COVILLE |
NPI Number: | 1336157627 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.A. |
License Number: | PA00240 |
Business Practice Address: | 205 Main St. Aumsville, OR - 973259018 |
Business Phone Number: | 5037494734 |
Business Fax Number: | 5037493745 |
Mailing Address: | Po Box 139, AUMSVILLE |
State: | OR |
Postal Code: | 973250139 |
Phone Number: | 5037494734 |
Fax Number: | 5037493745 |
NPI Enumeration Date: | 08/03/2006 |
NPI Last Update Date: | 12/23/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | PA00240 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |