Individual
ANDREW STOKES KLEAVELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1253 NW CANAL BLVD, REDMOND, OR 97756-1334
(541) 548-8131
(541) 460-4028
Mailing address
PO BOX 6096, BEND, OR 97708-6096
(541) 548-8131
(541) 460-4028
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD171934
OR
207P00000X
Emergency Medicine Physician
MD20388
ME
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/04/2012
Last updated
01/17/2025
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