Individual
KRISTOPHER D DUBENIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1201 NE 7TH ST STE D, GRANTS PASS, OR 97526-1451
(541) 281-9026
Mailing address
900 CAVES CAMP RD, WILLIAMS, OR 97544-9606
(815) 641-6159
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/01/2025
Last updated
05/01/2025
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