Individual
NICOLE KOSMIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 NE NEFF RD, BEND, OR 97701-6015
(888) 333-1095
Mailing address
2500 NE NEFF RD, BEND, OR 97701-6015
(888) 333-1095
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
DO223392
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/04/2019
Last updated
11/04/2025
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