Individual
KENDRA I MIFFLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1253 NW CANAL BLVD, REDMOND, OR 97756-1334
(541) 548-8131
(541) 460-4028
Mailing address
PO BOX 6095, BEND, OR 97708-6095
(541) 706-5922
(541) 706-6869
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
10012039
OR
363LF0000X
Family Nurse Practitioner
71011032A
IN
Other
Enumeration date
04/16/2021
Last updated
01/02/2024
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