Individual
REBECCA ANN SULTAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2500 NE NEFF RD, BEND, OR 97701-6015
(541) 388-4333
(541) 388-3446
Mailing address
2500 NE NEFF RD, BEND, OR 97701-6015
(541) 388-4333
(541) 388-3446
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA201149
OR
Other
Enumeration date
09/20/2016
Last updated
08/03/2021
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