Individual
MS. ABBY EHNTHOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
2195 NW SHEVLIN PARK RD STE 100, BEND, OR 97703-7102
(541) 706-3819
(541) 429-6659
Mailing address
PO BOX 1517, PENDLETON, OR 97801-0410
(877) 708-1119
(541) 278-8349
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
33340757
NY
363LP2300X
Primary Care Nurse Practitioner
101.0114340
VT
Other
Enumeration date
08/11/2015
Last updated
08/31/2021
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