Individual
MISS JULIE JO CLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OCCUPATIONAL THERAPI
Contact information
Practice address
60575 BILLADEAU RD, BEND, OR 97702-9338
(541) 389-1848
Mailing address
2125 NE DAGGETT LN, BEND, OR 97701-6560
(541) 389-1848
(541) 550-7956
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
996BDS
OR
225XP0200X
Pediatric Occupational Therapist
1070199
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
029051
OMAP NUMBER
OR
Enumeration date
09/27/2006
Last updated
03/17/2018
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