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Individual

RENE R BATES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
1303 NE CUSHING DR, SUITE 150, BEND, OR 97701-3891
(541) 382-7875
(541) 382-2181
Mailing address
805 SW INDUSTRIAL WAY, SUITE 3, BEND, OR 97702-1093
(541) 585-2529
(541) 585-2536

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5269
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
278595
OR
Enumeration date
05/01/2007
Last updated
01/02/2013
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