Most Relevant Information
Provider Data
| NPI Number: | 1003014929 |
| Provider Name: | KRISTINE MARIE EVANS A.A. |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/03/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
63360 NW BRITTA ST STE 1
BEND
OR
977019475
Practice Location Phone/Fax
| Phone: | 5413184845 |
| Fax: |
Provider Mailing Location
63066 MARSH ORCHID DR
BEND
OR
977018331
Provider Mailing Phone/Fax
| Phone: | 5414208564 |
| Fax: |