Individual
KRISTEN BENDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1700 NE 102ND AVE, PORTLAND, OR 97220-3804
(971) 917-5455
Mailing address
4620 103RD AVE SE, OLYMPIA, WA 98513-8814
(530) 949-0540
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
10010027
OR
163W00000X
Registered Nurse
RN60946246
WA
363L00000X
Nurse Practitioner
Primary
10010027
OR
363L00000X
Nurse Practitioner
AP61462618
WA
Other
Enumeration date
06/30/2022
Last updated
12/15/2023
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