Individual
RONALD D CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
336 SW CYBER DR STE 107, BEND, OR 97702-1682
(541) 382-5500
Mailing address
PO BOX 1517, PENDLETON, OR 97801-0410
(877) 708-1119
(541) 278-8349
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
3292592401
UT
225100000X
Physical Therapist
Primary
4396
OR
225100000X
Physical Therapist
6252
CO
Other
Enumeration date
06/14/2006
Last updated
12/30/2022
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