Individual
MEHAMA ELIZABETH KAUPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2650 NE COURTNEY DR, BEND, OR 97701-7636
(541) 647-5200
Mailing address
639 NW GEORGIA AVE, BEND, OR 97703-3240
(541) 639-7881
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201604835RN
OR
Other
Enumeration date
12/14/2020
Last updated
12/14/2020
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