Individual
KAITLYN OLDHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
354 NE GREENWOOD AVE STE 110, BEND, OR 97701-4600
(541) 316-8089
Mailing address
PO BOX 5485, BEND, OR 97708-5485
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
SLI-GEN-10245487
OR
Other
Enumeration date
01/30/2026
Last updated
01/30/2026
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