Individual
KATHERINE MARIE CUSHING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1364 NW ITHACA AVE, BEND, OR 97701-2223
(541) 633-0173
Mailing address
1364 NW ITHACA AVE, BEND, OR 97701-2223
(541) 633-0173
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
14727
OR
Other
Enumeration date
12/11/2008
Last updated
12/11/2008
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