Individual provider · Type 1 NPI
Sarah C. Provencio
Veterinarian · Bend, OR
NPI number
1790088862
Active
Practice location
360 NE Quimby Ave
Bend, OR 97701-4055
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Veterinarian Primary | 174M00000X | 5796 (OR) |
Veterinarian: A doctor of veterinary medicine, trained and authorized to practice veterinarian medicine and surgery.
About NPI 1790088862
Sarah C. Provencio's National Provider Identifier is 1790088862, issued on Dec 13, 2010. The primary taxonomy on file is Veterinarian (174M00000X), and the practice location is in Bend, OR. The record was last updated on Dec 13, 2010.