Individual
COLIN NETTLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2480 NE TWIN KNOLLS DR, BEND, OR 97701-6833
(541) 323-7554
Mailing address
2480 NE TWIN KNOLLS DR, BEND, OR 97701-6833
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
373H00000X
Day Training/Habilitation Specialist
—
—
Other
Enumeration date
07/05/2022
Last updated
07/05/2022
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