Individual
KRISTEN SESTRIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
61615 ATHLETIC CLUB DR, BEND, OR 97702-3247
(541) 382-7890
(541) 382-7498
Mailing address
16083 SW UPPER BOONES FERRY RD, #300, TIGARD, OR 97224-7736
(800) 219-8835
(503) 639-9699
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2108
NV
225100000X
Physical Therapist
Primary
60699
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0328956
WA L&I
OR
01
—
0328959
WA L&I
OR
01
—
0328960
WA L&I
OR
01
—
0328962
WA L&I
OR
05
—
500675016
—
OR
Enumeration date
04/10/2008
Last updated
11/11/2014
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