NPI 1023430139

Danette Colovos, LMT

Practitioner Specialist Bend, OR

Practice location

Address: 376 SW Bluff Dr STE 2, Bend, OR 97702-1399
Phone: (541) 749-0023
Mailing address: PO Box 841, Bend, OR 97709-0841

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 19325 (OR)

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Registry record

NPI: 1023430139
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Jan 2014
Record last updated: 8 Jan 2014

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.