Kristie Gravatt in Bend - Addiction (substance Use Disorder)

Kristie Gravatt - NPI 1699977835

Kristie Gravatt is a Addiction (substance Use Disorder) in Bend, Oregon. Kristie Gravatt practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Kristie Gravatt is 1699977835. The last update date is 2007-07-08.

Kristie Gravatt's current location address is 316 Nw Vermont, Bend, Oregon. You can contact this provider via phone number 5413300006 and fax number 5413300082. The mailing address for Kristie Gravatt is 316 Nw Vermont, Bend, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name Kristie Gravatt
Address 316 Nw Vermont, Bend, Oregon
Phone Number 5413300006
Fax Number 5413300082
Sole Proprietor Y
Credentials --

NPI Number Detail

NPI Number 1699977835
Provider Enumeration Date 2007-06-01
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 316 Nw Vermont
City Bend
State Oregon (OR)
Post Code 97701
Phone Number 5413300006
Fax Number 5413300082

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 101Ya0400X
Definition:
A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions.

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FAQs about Kristie Gravatt

What is the unique provider identifier assigned to Kristie Gravatt?

The Kristie Gravatt has been issued the NPI (National Provider Identifier) 1699977835 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete address where Kristie Gravatt is physically located?

The Kristie Gravatt is situated at the following address: 316 Nw Vermont, Bend, OR 97701.

What is Kristie Gravatt's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Kristie Gravatt is Addiction (substance Use Disorder), and the taxonomy classification code that categorizes this area of expertise is 101Ya0400X.

On what date did the Centers for Medicare & Medicaid Services assign the 1699977835 to Kristie Gravatt?

The Centers for Medicare & Medicaid Services assigned the 1699977835 to Kristie Gravatt on 2007-06-01.

As of what date were the details related to Kristie Gravatt most recently updated or revised?

The information pertaining to Kristie Gravatt, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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