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NPI Code Detail

MEDICARE: KRISTINE MARIE DELAMARTER MD

MEDICARE: KRISTINE MARIE DELAMARTER MD
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
1207Q00000XFamily Medicine PhysicianMD27858OR

General Provider Information

NPI Number : 1902018757
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTINE MARIE DELAMARTER MD
Provider Business Mailing Address
First Line : 76 NE 12TH ST
Second Line :
City : MADRAS
State : OR
Zip : 97741-1827
Country : US
Telephone Number : 541-475-3874
Fax Number : 541-475-3503
Provider Business Practice Location Address
First Line : 76 NE 12TH ST
Second Line :
City : MADRAS
State : OR
Zip : 97741-1827
Country : US
Telephone Number : 541-475-3874
Fax Number : 541-475-3503
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2007
Last Update Date : 03/31/2017

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Directions to “ KRISTINE MARIE DELAMARTER MD” Practice Location

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