Individual
KRISTEN M MEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CHW
Contact information
Practice address
2570 NW EDENBOWER BLVD STE 100, ROSEBURG, OR 97471-6214
(541) 677-7200
(541) 229-3309
Mailing address
2570 NW EDENBOWER BLVD STE 100, ROSEBURG, OR 97471-6214
(541) 677-7200
(541) 229-3309
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
THW000107235
OREGON HEALTH AUTHORITY
OR
Enumeration date
10/27/2022
Last updated
02/06/2023
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