Individual
DR. KRISTEN GAIL DILLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2965 NE CONNERS AVE, PACIFICSOURCE HEALTH SERVICES DEPAR, BEND, OR 97701-7753
(541) 385-5315
Mailing address
2965 NE CONNERS AVE, PACIFICSOURCE HEALTH SERVICES DEPAR, BEND, OR 97701-7753
(541) 385-5315
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD22417
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11007
BLUE CROSS BLUE SHIELD
OR
01
—
150654
DEPT OF LABOR AND INDUSTR
WA
01
—
1978033
UNITED MEDICAL PLAN
—
05
—
288186
—
OR
01
—
80169500
RAILROAD MEDICARE
—
05
—
8278426
—
WA
01
—
K5099 06
PACIFICSOURCE
—
Enumeration date
11/17/2005
Last updated
02/20/2016
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