Champa, Sally

Champa, Sally is an sole proprietor health care provider with primary practice located at 816 Nw Hill St , Bend OR 97701-2925. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Champa, Sally can be contacted via phone (541) 280-2517.

Contact Information

Primary practice address
816 Nw Hill St Bend OR 97701-2925
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1083048276
LBN Legal business name Champa, Sally
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 24th, 2013
Last updated Aug 24th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers