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Individual

KRISTIN DONNELLY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APNP

Contact information

Practice address
2165 NW SHEVLIN PARK RD, BEND, OR 97703-7101
(541) 317-5600
(541) 317-5676
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
10051697
OR
363LF0000X
Family Nurse Practitioner
11230-33
WI

Other

Enumeration date
08/19/2021
Last updated
03/05/2026
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