Individual
MICHELLE MARIE BUNKERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20517 JACKLIGHT LN, BEND, OR 97702-2971
(503) 675-2230
Mailing address
20517 JACKLIGHT LN, BEND, OR 97702-2971
(503) 675-2230
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
09/11/2020
Last updated
09/11/2020
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