Individual
JENNIFER BETUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
56900 ENTERPRISE DR, SUNRIVER, OR 97707-2121
(541) 355-6947
Mailing address
16777 GROSS DR, BEND, OR 97707-2519
(541) 948-5131
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
013602
OR
Other
Enumeration date
04/24/2024
Last updated
04/24/2024
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