Whalio Doctors

NPI 1417371378

Ken Roper

Practitioner Driver Bend, OR

Practice location

Address
55907 Wood Duck Dr, Bend, OR 97707-2344
Phone
(541) 771-9542

Registered specialties

Driver Primary
Other Service Providers Taxonomy 172A00000X Licence 1593248-4 (OR)

Registry record

NPI
1417371378
Entity type
Individual
Sex (as registered)
Male
NPI issued
13 Feb 2014
Record last updated
13 Feb 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.