Dillon, Kristen Gail
Dillon, Kristen Gail is an individual health care provider with primary practice located at 2965 Ne Conners Ave Pacificsource Health Services Depar, Bend OR 97701-7753. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Dillon, Kristen Gail can be contacted via phone (541) 385-5315.Contact Information
Primary practice address
2965 Ne Conners Ave Pacificsource Health Services Depar
Bend OR 97701-7753
Phone: (541) 385-5315
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD22417 | Oregon |
Profile Details
| NPI number | 1649252362 |
|---|---|
| LBN Legal business name | Dillon, Kristen Gail |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 17th, 2005 |
| Last updated | Feb 20th, 2016 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649252362 | NPPES |
| Other | 80169500 | RAILROAD MEDICARE | |
| MEDICAID | 8278426 | RAILROAD MEDICARE | |
| Other | 1978033 | RAILROAD MEDICARE | |
| MEDICAID | 288186 | RAILROAD MEDICARE | |
| Other | 11007 | RAILROAD MEDICARE | |
| Other | 150654 | RAILROAD MEDICARE | |
| Other | K5099 06 | RAILROAD MEDICARE |
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