Individual
MISS KRISTINE MARIE EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.A.
Contact information
Practice address
63360 NW BRITTA ST STE 1, BEND, OR 97701-9475
(541) 318-4845
Mailing address
63066 MARSH ORCHID DR, BEND, OR 97701-8331
(541) 420-8564
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/03/2007
Last updated
07/08/2007
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