Individual
KRISTEN DAWN DODD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
960 N 16TH ST STE 207, SPRINGFIELD, OR 97477-4175
(541) 744-6175
Mailing address
960 N 16TH ST STE 304, SPRINGFIELD, OR 97477-4175
(541) 744-6172
(541) 744-8608
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
150610
OR
Other
Enumeration date
01/04/2010
Last updated
05/20/2016
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