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Individual

MRS. CRISTIN C RICKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PAC

Contact information

Practice address
2200 NE PROFESSIONAL CT, BEND, OR 97701-6063
(541) 389-6313
(541) 389-8760
Mailing address
2200 NE PROFESSIONAL CT, BEND, OR 97701
(541) 389-6313
(541) 389-8760

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA00539
OR
363A00000X
Physician Assistant
Primary
PA00539

Other

Enumeration date
12/29/2005
Last updated
04/13/2009
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