Individual
KRYSTAL CATHLEEN WALDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
377 LACLAIR ST, COOS BAY, OR 97420-4709
(541) 756-2057
Mailing address
PO BOX 1013, NORTH BEND, OR 97459-0077
(541) 659-9582
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
OR
Other
Enumeration date
09/01/2022
Last updated
09/01/2022
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