Individual
SEAN PATRICK ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
908 NE 4TH ST STE 100, BEND, OR 97701-4646
(541) 617-7365
Mailing address
19950 DRIFTWOOD LN UNIT 329, BEND, OR 97702-9136
(203) 684-9400
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
10/10/2024
Last updated
10/10/2024
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