Individual
KARI HALVORSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
37 NW IRVING AVE, BEND, OR 97703-2011
(541) 633-4591
Mailing address
37 NW IRVING AVE, BEND, OR 97703-2011
(541) 633-4591
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
5814
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LPC5814
NONE
OR
Enumeration date
03/03/2021
Last updated
03/03/2021
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