Kristan Vandomelen

NPI #1912305566 in Gresham, Oregon

Provider Information

NPI Number
1912305566
Entity Type
Individual
Name
Kristan Vandomelen
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Case Manager/Care Coordinator
Enumeration Date
Dec 15, 2014
Last Updated
Dec 15, 2014

Practice Location

Address
400 NE 7TH ST
State
Oregon
ZIP Code
97030-5604
Phone
(503) 661-5455

Specialties & Taxonomy Codes

Specialty
Case Manager/Care Coordinator

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