Individual
KRISTEN WORKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CST
Contact information
Practice address
444 NW ELKS DR, CORVALLIS, OR 97330-3745
(541) 754-1274
Mailing address
444 NW ELKS DR, CORVALLIS, OR 97330-3745
(541) 754-1274
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
120681
OR
Other
Enumeration date
03/13/2012
Last updated
03/13/2012
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