Individual
KATHY CLOUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
568 NE SAVANNAH DR, SUITE 5, BEND, OR 97701-4866
(541) 382-0000
Mailing address
568 NE SAVANNAH DR STE 5, BEND, OR 97701-4866
(541) 382-0000
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
11503
OR
Other
Enumeration date
03/13/2009
Last updated
01/25/2011
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