Individual
KATHLEEN G CULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
19800 TOUCHMARK WAY, CLIFF LODGE, BUSINESS STE. #3, BEND, OR 97702-3403
(541) 280-6980
Mailing address
60105 OPAL LN, BEND, OR 97702-8902
(541) 280-6980
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
14441
OR
Other
Enumeration date
03/30/2010
Last updated
03/30/2010
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