Individual
KARI LOUISE TYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2084 NE PROFESSIONAL CT, BEND, OR 97701-6077
(541) 383-3005
(541) 383-1883
Mailing address
PO BOX 4228, PORTLAND, OR 97208-4228
(541) 383-3005
(541) 383-1883
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
27203
OR
207Q00000X
Family Medicine Physician
48541
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
241888
—
OR
Enumeration date
08/13/2006
Last updated
10/01/2024
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