Individual
KRISTINE ANN RAUDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2115 NE WYATT CT, SUITE 201, BEND, OR 97701
(541) 545-2400
Mailing address
3124 NW SHEVLIN MEADOW DRIVE, BEND, OR 97703
(907) 433-9040
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA179154
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/15/2015
Last updated
04/30/2021
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