Individual
MRS. KATHERINE EMMA TILLER I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
63360 NW BRITTA ST STE 1, BEND, OR 97701-9475
(541) 318-4845
Mailing address
63360 NW BRITTA ST STE 1, BEND, OR 97701-9475
(541) 318-4845
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
—
OR
Other
Enumeration date
05/24/2007
Last updated
07/08/2007
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