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Individual

KAY OLIVER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN, P/MHNP

Contact information

Practice address
1010 NW HARRIMAN ST, SUITE A, BEND, OR 97701-1912
(541) 382-5101
Mailing address
1010 NW HARRIMAN ST, SUITE A, BEND, OR 97701-1912
(541) 382-5101

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
000025188N6
OR

Other

Enumeration date
10/28/2009
Last updated
10/28/2009
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