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General NPI Number Information
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NPI Number | 1851023451
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Entity Type | Individual
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Provider Name | KRISTEN BENDER NP
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Gender | Female
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Dates
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Enumeration Date | 06/30/2022
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Last Update Date | 12/15/2023
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Provider Practice Location Address
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Address Line | 1700 NE 102ND AVE
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City | PORTLAND
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State | OR
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Zip | 97220-3804
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Country | US
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Telephone | 971-917-5455
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Fax |
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Provider Business Mailing Address
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Address Line | 4620 103RD AVE SE
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City | OLYMPIA
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State | WA
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Zip | 98513-8814
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Country | US
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Telephone | 530-949-0540
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | AP61462618
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN60946246
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 10010027
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License Number State | OR
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Taxonomy #4
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 10010027
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License Number State | OR
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