Individual
JACQUELINE SMELSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
750 NW CHARBONNEAU ST, SUITE 108, BEND, OR 97703
(541) 216-6100
(541) 216-6677
Mailing address
750 NW CHARBONNEAU ST, SUITE 108, BEND, OR 97703
(541) 216-6100
(541) 216-6677
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
5153
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
274645
—
OR
Enumeration date
07/31/2006
Last updated
04/23/2020
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