Provider Demographics
NPI:1255354817
Name:WINKLER, PAUL A II (PA-C)
Entity type:Individual
Prefix:
First Name:PAUL
Middle Name:A
Last Name:WINKLER
Suffix:II
Gender:M
Credentials:PA-C
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Other - Last Name:
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Mailing Address - Street 1:2200 BRYANT WILLIAMS DR
Mailing Address - Street 2:STE 1
Mailing Address - City:KLAMATH FALLS
Mailing Address - State:OR
Mailing Address - Zip Code:97601-1121
Mailing Address - Country:US
Mailing Address - Phone:541-884-3677
Mailing Address - Fax:541-885-4572
Practice Address - Street 1:2200 BRYANT WILLIAMS DRIVE
Practice Address - Street 2:SUITE 1
Practice Address - City:KLAMATH FALLS
Practice Address - State:OR
Practice Address - Zip Code:97601-1120
Practice Address - Country:US
Practice Address - Phone:541-884-3677
Practice Address - Fax:541-885-4572
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2023-03-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
ORPA00964363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR93062096697601OtherTRICARE
ORP00260572OtherRAILROAD MEDICARE
OR002635013OtherBLUE CROSS
OR002635013OtherBLUE CROSS
OR002635013OtherBLUE CROSS
ORR120075Medicare PIN