Kristin K Vandomelen M.D.

NPI 1710117122 - Internal Medicine - 207R00000X

NPI Details
NPI 1710117122
Gender Female
Enumeration Date 07/20/2009
Last Updated 04/14/2016
Entity Type Individual
Active Over 7 years ago
Practice Location
2160 NE WILLIAMSON CT
BEND OR, 97701-3760, US
Phone (541) 389-1118
Fax
Business Location
2160 NE WILLIAMSON CT
BEND OR, 97701-3760, US
Phone (541) 389-1118
Fax (360) 896-4470
Toxanomy
Taxonomy Code 207R00000X
License State Washington
License Number MD60284548
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According to our database, Kristin K Vandomelen M.D. NPI is 1710117122, taxonomy code is 207R00000X and license number is MD60284548, license state is located at Washington. Kristin K Vandomelen M.D. physically located at 2160 Ne Williamson Ct, Bend OR, 97701-3760. NPI Number Kristin K Vandomelen M.D. has the Individual type.

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1710117122 NPI number is provided on an as is basis without warranty of any kind. 1710117122 is maintained by the National Plan & Provider Enumeration System. The contents of Kristin K Vandomelen M.D. are for informational purposes only.