Individual
JON KINTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3585 BROADWAY ST, NORTH BEND, OR 97459-1251
(541) 756-2584
(541) 756-5783
Mailing address
3585 BROADWAY AVE, NORTH BEND, OR 97459-1251
(541) 756-2584
(541) 756-5783
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD15956
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E55207
UPIN
—
Enumeration date
08/02/2005
Last updated
03/07/2023
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