NPI 1730258963

Consumer Empowerment Fiscal Agent

Organisation Supports Brokerage Agency Bend, OR

Practice location

Address: 999 SW Disk Dr STE 102a, Bend, OR 97702-3060
Phone: (541) 322-9556
Fax: (541) 322-9778

Authorised official

Name: Jeff Coffey
Title: Ceo
Phone: (541) 322-9556

Registered specialties

Supports Brokerage Agency Primary

Agencies Taxonomy 251X00000X Licence 0700000605 (OR)

Other Supports Brokerage providers in Oregon →

Registry record

NPI: 1730258963
Entity type: Organization
NPI issued: 6 Nov 2006
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.