Individual
JAKE TRIANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
61470 S HWY 97 STE B, BEND, OR 97702-2559
(541) 508-5473
(541) 508-5474
Mailing address
1650 LYNDON FARM CT STE 300, LOUISVILLE, KY 40223-5005
(726) 202-3039
(210) 978-5592
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
66075
OR
Other
Enumeration date
05/12/2026
Last updated
05/12/2026
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