NPI 1033444575

Jessica Wallick

Practitioner Specialist Bend, OR

Practice location

Address: 1327 NW Lexington Ave., Bend, OR 97701
Phone: (541) 420-5278

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 13451 (OR)

Other Specialist providers in Oregon →

Registry record

NPI: 1033444575
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Oct 2009
Record last updated: 15 Oct 2009

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.