Individual
JOSEPH KENTTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
19 SW CENTURY DR, BEND, OR 97702-1048
(541) 318-3436
Mailing address
19 SW CENTURY DR, BEND, OR 97702-1048
(541) 408-1744
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/29/2025
Last updated
04/29/2025
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