Provider Demographics
NPI:1013126986
Name:PALMER KAAG, KRISTI (MED)
Entity Type:Individual
Prefix:
First Name:KRISTI
Middle Name:
Last Name:PALMER KAAG
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:KRISTI
Other - Middle Name:LYNNE
Other - Last Name:PALMER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MED
Mailing Address - Street 1:2250 PATTERSON ST
Mailing Address - Street 2:APARTMENT 110
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97405-2984
Mailing Address - Country:US
Mailing Address - Phone:541-346-7536
Mailing Address - Fax:
Practice Address - Street 1:1863 PIONEER PKWY E
Practice Address - Street 2:#304
Practice Address - City:SPRINGFIELD
Practice Address - State:OR
Practice Address - Zip Code:97477-3907
Practice Address - Country:US
Practice Address - Phone:541-896-9300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist