Individual
JAYNA RUPLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1501 NE MEDICAL CENTER DR, BEND, OR 97701-6051
(541) 382-2811
Mailing address
1501 NE MEDICAL CENTER DR, BEND, OR 97701-6051
(541) 382-4900
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA199928
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500787283
—
OR
Enumeration date
11/02/2020
Last updated
01/04/2022
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