Individual
DR. KRISTIN M EVERETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2525 12TH ST SE STE 260, SALEM, OR 97302-2282
(033) 914-1825
Mailing address
2525 12TH ST SE STE 260, SALEM, OR 97302-2282
(971) 239-0001
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
47999
CO
207Q00000X
Family Medicine Physician
Primary
MD212644
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
47999
STATE LICENSE
CO
01
—
MD212644
STATE LICENSE
OR
Enumeration date
08/30/2005
Last updated
03/07/2023
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