Individual
MRS. JILL LINMAN COCORES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
526 NW GREYHAWK AVE, BEND, OR 97701-5607
(541) 383-9026
Mailing address
526 NW GREYHAWK AVE, BEND, OR 97701-5607
(541) 383-9026
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
86773
OR
Other
Enumeration date
06/04/2009
Last updated
06/04/2009
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