Individual
JESSICA MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1340 NW WALL ST, BEND, OR 97703-1985
(541) 332-7500
Mailing address
2577 NE COURTNEY DR, BEND, OR 97701-7752
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
01/20/2023
Last updated
01/20/2023
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