Individual
ANDREW KRAUTHOEFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
780 NW YORK DR STE 204, BEND, OR 97703-1055
(458) 202-9207
Mailing address
19769 ASTRO PL, BEND, OR 97702-2999
(262) 853-4151
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
R5673
OR
Other
Enumeration date
01/21/2020
Last updated
01/21/2020
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