SearchOregon101YM0800X

Gina Lawrence

NPI 1235545443 · on the registry since 2014 · sole proprietor

Practice

Address
24455 Dodds Rd
Bend, OR 97701
Phone
(541) 777-7230
Fax
(541) 923-7139
Organisation at this address
Lifesource Therapy Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Also registered as
225700000X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-08-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon