| Doctor Name: | ROBERTA A KAISER |
| NPI Number: | 1386733343 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 00039271 |
| Business Practice Address: | 312 E Main St Talent, OR - 975409752 |
| Business Phone Number: | 5415359108 |
| Business Fax Number: | |
| Mailing Address: | Po Box 422, TALENT |
| State: | OR |
| Postal Code: | 975400422 |
| Phone Number: | 5415359108 |
| Fax Number: | |
| NPI Enumeration Date: | 10/11/2006 |
| NPI Last Update Date: | 05/19/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 00039271 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OR |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |