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Individual

KENDALL LEE OLSON-CASSIDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1910 E BARNETT RD STE 102, MEDFORD, OR 97504-8672
(541) 500-4747
Mailing address
1910 E BARNETT RD STE 102, MEDFORD, OR 97504-8672
(541) 500-4747

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
201042785RN
OR
363LW0102X
Women's Health Nurse Practitioner
201250156NP
OR
367A00000X
Advanced Practice Midwife
Primary
201250156NP
OR

Other

Enumeration date
07/03/2011
Last updated
02/19/2025
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