SearchOregon101YA0400X

Kristie Gravatt

NPI 1699977835 · on the registry since 2007 · sole proprietor

Practice

Address
316 Nw Vermont
Ste. 50
Bend, OR 97701
Phone
(541) 330-0006
Fax
(541) 330-0082

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon