| Kristen Kampstra | |
|
2835 Sw Deschutes Dr Redmond OR 97756-7093 | |
| (541) 497-0564 | |
| Not Available |
| Full Name | Kristen Kampstra |
|---|---|
| Speciality | Clinic/center |
| Location | 2835 Sw Deschutes Dr, Redmond, Oregon |
| Authorized Official Name and Position | Kristen N Kampstra (LMT) |
| Authorized Official Contact | 5414970564 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kristen Kampstra 2835 Sw Deschutes Dr Redmond OR 97756-7093 Ph: () - | Kristen Kampstra 2835 Sw Deschutes Dr Redmond OR 97756-7093 Ph: (541) 497-0564 |
| NPI Number | 1265981757 |
|---|---|
| Provider Enumeration Date | 09/26/2016 |
| Last Update Date | 09/26/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265981757 | NPI | - | NPPES |
| 225700000X | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 20543 (Oregon) | Primary |
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