Individual
KY NORDTVEDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4455 NE HIGHWAY 20, CORVALLIS, OR 97330
(541) 758-5915
Mailing address
2605 VALLEY VIEW DR NW, ALBANY, OR 97321-9619
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/15/2017
Last updated
01/14/2026
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