Individual
ERICA KOKKELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNC
Contact information
Practice address
3003 NE ROCK CHUCK DR, BEND, OR 97701-6522
(541) 848-7080
Mailing address
3003 NE ROCK CHUCK DR, BEND, OR 97701-6522
(541) 848-7080
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
—
—
171400000X
Health & Wellness Coach
—
—
174H00000X
Health Educator
—
—
Other
Enumeration date
03/01/2024
Last updated
03/05/2024
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