Individual
JILL BURROWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1546 NW 3RD ST, BEND, OR 97703-2307
(605) 212-1712
Mailing address
1546 NW 3RD ST, BEND, OR 97703-2307
(605) 212-1712
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
22774
OR
Other
Enumeration date
10/29/2016
Last updated
01/26/2017
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