Individual
KARYN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
726 NW WALL STREET, BEND, OR 97701
(541) 382-4721
Mailing address
726 NW WALL STREET, BEND, OR 97701
(541) 382-4721
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
088006512N1 FNP PP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
276555
—
OR
Enumeration date
08/09/2006
Last updated
10/13/2009
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