Tristan Mckibben

NPI #1083404420 in Corvallis, Oregon

Provider Information

NPI Number
1083404420
Entity Type
Individual
Name
Tristan Mckibben
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Student in an Organized Health Care Education/Training Program
Enumeration Date
May 8, 2025
Last Updated
May 8, 2025

Practice Location

Address
1601 SW JEFFERSON AVE
State
Oregon
ZIP Code
97331-8656
Phone
(541) 737-3424

Specialties & Taxonomy Codes

Specialty
Student in an Organized Health Care Education/Training Program

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