Individual
MISTY ANGLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
23 NW GREENWOOD AVE, BEND, OR 97703
(541) 383-4293
Mailing address
23 NW GREENWOOD AVE, BEND, OR 97703-2078
(541) 383-4293
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
17-CRM-138
OR
Other
Enumeration date
02/15/2017
Last updated
06/07/2018
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