Individual
ZACHARY RIVAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRM
Contact information
Practice address
1340 NW WALL ST, BEND, OR 97703-1985
(541) 322-7500
(541) 322-7565
Mailing address
2577 NE COURTNEY DRIVE, BEND, OR 97701-7638
(541) 322-7500
(541) 322-7565
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
22-CRM-902
OR
Other
Enumeration date
04/20/2022
Last updated
10/23/2024
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