| Doctor Name: | DEAN KAO |
| NPI Number: | 1528170503 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PA-C |
| License Number: | PA10003541 |
| Business Practice Address: | 920 Sw Range Drive Waldport, OR - 973943035 |
| Business Phone Number: | 5415633197 |
| Business Fax Number: | 5415636027 |
| Mailing Address: | 920 Sw Range Drive, WALDPORT |
| State: | OR |
| Postal Code: | 973943035 |
| Phone Number: | 5415633197 |
| Fax Number: | 5415636027 |
| NPI Enumeration Date: | 08/31/2006 |
| NPI Last Update Date: | 02/03/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | PA10003541 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |