Individual
ROXSANNE ALYSSA WAHLUND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
60575 BILLADEAU RD, BEND, OR 97702
(916) 502-4809
Mailing address
PO BOX 1397, BEND, OR 97709
(541) 389-1848
(541) 550-7956
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/25/2019
Last updated
03/24/2022
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