Provider Demographics
NPI:1124147152
Name:RAYMOND, KERIE (ND)
Entity type:Individual
Prefix:DR
First Name:KERIE
Middle Name:
Last Name:RAYMOND
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20060 ROCK BLUFF CIR
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97702-2044
Mailing Address - Country:US
Mailing Address - Phone:541-504-6684
Mailing Address - Fax:833-434-1373
Practice Address - Street 1:20060 ROCK BLUFF CIR
Practice Address - Street 2:
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97702-2044
Practice Address - Country:US
Practice Address - Phone:541-504-6684
Practice Address - Fax:833-434-1373
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-29
Last Update Date:2021-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR1505175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath