Individual
JULIE ANN RICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
61667 SOMERSET DR, BEND, OR 97702-8704
(541) 556-0308
Mailing address
61667 SOMERSET DR, BEND, OR 97702-8704
(541) 556-0308
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
THW000004262
TRADITIONAL HEALTH WORKER
OR
Enumeration date
03/25/2021
Last updated
03/25/2021
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