Individual
TARYN H DUBOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT, CHT, QMHP
Contact information
Practice address
223 SE DAVIS AVE, BEND, OR 97702-1333
(541) 797-3638
Mailing address
223 SE DAVIS AVE STE 3, BEND, OR 97702-1333
(541) 797-3638
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1066420
OR
225X00000X
Occupational Therapist
OT00003738
WA
225XH1200X
Hand Occupational Therapist
1066420
OR
225XM0800X
Mental Health Occupational Therapist
1066420
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500642902
—
OR
Enumeration date
07/01/2006
Last updated
10/03/2024
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