Individual
BRUCE EDWIN, ARTHUR WALDRUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
62895 HAMBY RD, BEND, OR 97701-9575
(541) 678-3665
Mailing address
62895 HAMBY RD, BEND, OR 97701-9575
(541) 678-3665
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
08/23/2023
Last updated
08/23/2023
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