Individual
DARCI WOMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
1128 NW HARRIMAN ST, BEND, OR 97703
(541) 322-7500
(541) 322-7565
Mailing address
2577 NE COURTNEY DRIVE, BEND, OR 97701-7638
(541) 322-7500
(541) 322-7565
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1021028
—
AK
Enumeration date
12/17/2013
Last updated
08/09/2018
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