Organization
KRISTEN KAMPSTRA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTEN N KAMPSTRA (LMT)
(541) 497-0564
Entity
Organization
Contact information
Practice address
2835 SW DESCHUTES DR, REDMOND, OR 97756-7093
(541) 497-0564
Mailing address
2835 SW DESCHUTES DR, REDMOND, OR 97756-7093
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
20543
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
225700000X
—
OR
Enumeration date
09/26/2016
Last updated
09/26/2016
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