Individual
TARA MICHELLE ENDRIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T. , A.T.C.
Contact information
Practice address
20547 ROLEN AVE, BEND, OR 97702-2862
(541) 350-5913
(541) 330-0224
Mailing address
20547 ROLEN AVE, BEND, OR 97702-2862
(541) 350-5913
(541) 330-0224
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
6455
OR
Other
Enumeration date
01/15/2007
Last updated
07/08/2007
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