Individual
KRISTIN LEN FADNESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
PO BOX 1710, REDMOND, OR 97756-0516
(541) 585-0008
Mailing address
PO BOX 1710, REDMOND, OR 97756-0516
(541) 585-0008
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
OR
Other
Enumeration date
09/29/2025
Last updated
09/29/2025
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