Individual
KRISTIN M VANDOMELEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2160 NE WILLIAMSON CT, BEND, OR 97701-3760
(541) 389-1118
Mailing address
2160 NE WILLIAMSON CT, BEND, OR 97701-3760
(541) 389-1118
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD157351
OR
207R00000X
Internal Medicine Physician
MD60284548
WA
Other
Enumeration date
07/20/2009
Last updated
04/14/2016
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