Individual
KURTIS PAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
32405 DIAGONAL RD, HERMISTON, OR 97838-7503
(541) 567-2593
Mailing address
32405 DIAGONAL RD, HERMISTON, OR 97838-7503
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
24-CRM-2929
OR
Other
Enumeration date
04/24/2024
Last updated
04/24/2024
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