MEDICARE: MR. AARON TESMAN PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	PA00670	OR

General Provider Information

NPI Number	:	1942255302
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. AARON TESMAN PA

Provider Business Mailing Address
First Line	:	2200 BRYANT WILLIAMS DR
Second Line	:	SUITE1
City	:	KLAMATH FALLS
State	:	OR
Zip	:	97601-1120
Country	:	US
Telephone Number	:	541-884-7746
Fax Number	:	541-884-0848

Provider Business Practice Location Address
First Line	:	2200 BRYANT WILLIAMS DR
Second Line	:	SUITE1
City	:	KLAMATH FALLS
State	:	OR
Zip	:	97601-1120
Country	:	US
Telephone Number	:	541-884-7746
Fax Number	:	541-884-0848

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/24/2006
Last Update Date	:	09/23/2016

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