Individual
DR. CAROL J PETHERBRIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ND
Contact information
Practice address
198 SOUTH EAST 3RD STREET, BEND, OR 97702
(541) 241-2763
(541) 897-8960
Mailing address
155 SW CENTURY DR SUITE 111, BEND, OR 97702
(541) 797-6224
(541) 797-6274
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
0667-R
OR
175F00000X
Naturopath
0667R
OR
Other
Enumeration date
09/26/2015
Last updated
01/12/2024
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