Provider Demographics
NPI:1053649087
Name:LIABRAATEN, KRISTIN M (CD(DONA), HCHI)
Entity Type:Individual
Prefix:MS
First Name:KRISTIN
Middle Name:M
Last Name:LIABRAATEN
Suffix:
Gender:F
Credentials:CD(DONA), HCHI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:129 SW TAFT AVE
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97702-1233
Mailing Address - Country:US
Mailing Address - Phone:541-419-1701
Mailing Address - Fax:
Practice Address - Street 1:129 SW TAFT AVE
Practice Address - Street 2:
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97702-1233
Practice Address - Country:US
Practice Address - Phone:541-419-1701
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-02
Last Update Date:2009-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula