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Contact Information

KISTEN DEDE, PT
55 COBURG RD
EUGENE, OR97401
 Phone: 541-485-8111
 Fax: 541-342-6379
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for KISTEN DEDE · (Female)

NPI # 1174808158
Status Active
Credentials PT (Physical Therapist)
Entity Individual
Enumeration date 10/20/2011
Last updated 01/09/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • OR License # 2047
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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