Individual
SALLY ANN ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2200 NE NEFF RD STE 302, BEND, OR 97701-4279
(541) 706-6915
(541) 706-6733
Mailing address
PO BOX 6048, BEND, OR 97708-6048
(541) 382-4900
(541) 706-2398
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA197099
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500774951
—
OR
Enumeration date
06/13/2018
Last updated
02/08/2024
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