Individual
KATIE BRAUNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
243 SW SCALEHOUSE LOOP STE 2B, BEND, OR 97702-1279
(541) 388-1969
Mailing address
1584 NW ITHACA AVE, BEND, OR 97701-2116
(541) 788-4116
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
17083
OR
Other
Enumeration date
12/02/2010
Last updated
12/02/2010
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