Krisan Pendleton

NPI #1881711455 in Mcminnville, Oregon

Provider Information

NPI Number: 1881711455
Entity Type: Individual
Name: Krisan Pendleton
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Mar 26, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 627 NE EVANS ST
City: Mcminnville
State: Oregon
ZIP Code: 97128-3923
Phone: (503) 434-7523

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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