Individual
JACLYN GAMBOA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2600 NE NEFF RD, BEND, OR 97701-6337
(541) 706-6843
(541) 598-3444
Mailing address
983 SW 25TH LN, REDMOND, OR 97756-1325
(541) 350-1277
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
—
OR
Other
Enumeration date
08/12/2020
Last updated
11/26/2025
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