Individual
ERICA JENELLE BURTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
360 SW BOND ST STE 330, BEND, OR 97702-3556
(541) 706-7730
(541) 706-4760
Mailing address
3004 NE HOPE DR, BEND, OR 97701-7739
(503) 803-5989
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/31/2023
Last updated
10/31/2023
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