Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kristen Ruckdashel

Individual provider Behavior Technician · NPI 1114492931

Kristen Ruckdashel is a Clinical Social Worker in Enterprise, Oregon. Qualified in 2021, 5 years ago. Practices with Winding Waters Medical Clinic, a 16-clinician group and accepts Medicare assignment.

Years since qualifying
5
In the registry since
2018

Practice location Address checks out

603 Medical Pkwy
Enterprise, OR 97828-5124
Phone: (541) 426-4502
Fax: (541) 426-6403
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1114492931
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 8, 2018
Last updated in NPPESOctober 8, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Winding Waters Medical Clinic — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Enterprise