Individual provider · Type 1 NPI

Sally Champa

Specialist · Bend, OR

NPI number 1083048276 Active

Practice location

816 NW Hill St
Bend, OR 97701-2925

Mailing address

3354 NE Hoona Dr
Bend, OR 97701-8308

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

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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About NPI 1083048276

Sally Champa's National Provider Identifier is 1083048276, issued on Aug 24, 2013. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Bend, OR. The record was last updated on Aug 24, 2013.