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Organization

SUNRISE PHYSIO LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JACQUELINE SMELSER PT (OWNER)
(541) 216-6100
Entity
Organization

Contact information

Practice address
2797 NW CLEARWATER DR STE 400, BEND, OR 97703-7018
(541) 216-6100
(541) 216-6677
Mailing address
2797 NW CLEARWATER DR STE 400, BEND, OR 97703-7018
(458) 666-1420
(541) 848-6026

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Enumeration date
12/03/2019
Last updated
03/28/2025
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