NPI 1366803827

Cassidy Mooney

Practitioner Contractor Bend, OR

Practice location

Address: 1045 NW Bond St, Bend, OR 97703-2043
Phone: (541) 610-4291
Mailing address: 1147 NE Viking CT, Bend, OR 97701-3961

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence 10096 (OR)

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Registry record

NPI: 1366803827
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Mar 2016
Record last updated: 11 Mar 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.