IndividualActive
Alexandria Staub, PA-C
NPI 1114408945 · Physician Assistant · Klamath Falls, OR
Provider details
- NPI number
- 1114408945
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
Practice location
1900 Main St Ste a
Klamath Falls, OR 97601-2629
Phone: (541) 382-5712
Mailing address
6394 S Solar Way
Boise, ID 83709-8605
Registry dates
- Enumerated
- 2018-08-29
- Last updated
- 2018-08-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.