Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 1505 | OR |
NPI | 1124147152 |
---|---|
Provider Name | Dr. Kerie Raymond |
First Address | Bend, OR 97702-2044 |
Second Address | Bend, OR 97702-2044 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/03/2007 |
Last Update Date | 25/01/2021 |