Provider Demographics
NPI:1154612851
Name:PAQUETTE, ALIA KATHERINE (DO)
Entity type:Individual
Prefix:
First Name:ALIA
Middle Name:KATHERINE
Last Name:PAQUETTE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1226 N HIGHWAY 99W
Mailing Address - Street 2:
Mailing Address - City:DUNDEE
Mailing Address - State:OR
Mailing Address - Zip Code:97115-9748
Mailing Address - Country:US
Mailing Address - Phone:971-482-6921
Mailing Address - Fax:
Practice Address - Street 1:1226 N HIGHWAY 99W
Practice Address - Street 2:
Practice Address - City:DUNDEE
Practice Address - State:OR
Practice Address - Zip Code:97115-9748
Practice Address - Country:US
Practice Address - Phone:971-482-6921
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-28
Last Update Date:2025-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR126987207R00000X
ORDO167087208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice