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

TaxonomyCodeLicense
Veterinarian Primary 174M00000X5796 (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.