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NPI Code Detail

MEDICARE: KRISTINA BOTTENBERG

MEDICARE: KRISTINA BOTTENBERG
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1175T00000XPeer Specialist

General Provider Information

NPI Number : 1316898786
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTINA BOTTENBERG
Provider Business Mailing Address
First Line : 7700 300TH ST NW
Second Line :
City : STANWOOD
State : WA
Zip : 98292-5841
Country : US
Telephone Number : 360-209-8430
Fax Number :
Provider Business Practice Location Address
First Line : 7700 300TH ST NW
Second Line :
City : STANWOOD
State : WA
Zip : 98292-5841
Country : US
Telephone Number : 360-209-8430
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/03/2026
Last Update Date : 02/03/2026

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Directions to “ KRISTINA BOTTENBERG ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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