SearchOregon174400000X

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NPI 1659825909 · on the registry since 2016 · sole proprietor

Practice

Address
1353 Ne 7th St
Bend, OR 97701
Phone
(626) 622-1872

Registry record

Primary taxonomy
174400000X
174400000X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-08-03

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