Individual
LACIE OGREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
520 NW WALL ST, BEND, OR 97703-2608
(541) 355-1000
Mailing address
1028 NW OGDEN AVE # 1, BEND, OR 97703-1624
(530) 598-8498
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
16836
OR
Other
Enumeration date
02/21/2024
Last updated
09/23/2024
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