Provencio, Sarah C

Provencio, Sarah C is an individual health care provider with primary practice located at 360 Ne Quimby Ave , Bend OR 97701-4055. She recently has only one registered license in Other Service Providers / Veterinarian, which is considered as her primary health care specialty. Provencio, Sarah C can be contacted via phone (541) 382-0741.

Contact Information

Primary practice address
360 Ne Quimby Ave Bend OR 97701-4055
Phone: (541) 382-0741
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Veterinarian 174M00000X 5796 Oregon

Profile Details

NPI number 1790088862
LBN Legal business name Provencio, Sarah C
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2010
Last updated Dec 13th, 2010 - about 14 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.

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