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Individual

ALEXANDRIA GIENTKE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
AGNP

Contact information

Practice address
1345 NW WALL ST STE 302, BEND, OR 97703-1970
(541) 323-3960
Mailing address
1821 NE BOBBIE CT, BEND, OR 97701-6609
(503) 568-6545

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
10024114
OR

Other

Enumeration date
04/01/2024
Last updated
04/01/2024
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