Individual provider · Type 1 NPI
Jessica Wallick
Specialist · Bend, OR
NPI number
1033444575
Active
Practice location
1327 NW Lexington Ave.
Bend, OR 97701
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 13451 (OR) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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- Cinda Michele Strauch, LMTSpecialist Bend, OR NPI 1043382500
- Wendy L. Benage, ATC/RSpecialist Bend, OR NPI 1053350033
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About NPI 1033444575
Jessica Wallick's National Provider Identifier is 1033444575, issued on Oct 15, 2009. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Bend, OR. The record was last updated on Oct 15, 2009.