NPI 1063867026

Jonnie Whitcomb, LMT

Practitioner Contractor Bend, OR

Practice location

Address: 1843 NE 3rd St STE 2, Bend, OR 97701-3816
Phone: (541) 350-5431
Mailing address: 20474 Jacklight Ln, Bend, OR 97702-3074

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence 15718 (OR)

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Registry record

NPI: 1063867026
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Apr 2016
Record last updated: 27 Apr 2016

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.