Derksen, Kristina Louise

Derksen, Kristina Louise is an individual health care provider with primary practice located at 2577 Ne Courtney Dr , Bend OR 97701-7752. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Peer Specialist. Other Service Providers / Peer Specialist is her primary health care specialty. Derksen, Kristina Louise can be contacted via phone (541) 322-7500.

Contact Information

Primary practice address
2577 Ne Courtney Dr Bend OR 97701-7752
Phone: (541) 322-7500
Fax: (541) 322-7565
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1376932897
LBN Legal business name Derksen, Kristina Louise
Credentials PEER SUPPORT
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 21st, 2015
Last updated Dec 11th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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