Individual
MRS. KRISTINE MACLEAN-TALBOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
450 NW GREENWOOD AVE, REDMOND, OR 97756-1531
(542) 923-0410
Mailing address
1144 NW STANNIUM RD, BEND, OR 97701-2141
(207) 299-7796
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5750
LICENSE #
OR
01
—
PT2928
LICENSE #
ME
Enumeration date
08/30/2006
Last updated
11/13/2012
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