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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JESSICA WALLICK

Active Sole Proprietor

JESSICA WALLICK is a Specialist healthcare provider located in BEND, Oregon. NPI 1033444575 is currently active in the NPPES registry. Verify at CMS.

Specialist · BEND, OR

Registration Details

NPI Number
1033444575
Provider Type
Individual
Gender
Female
NPI Issued
Oct 15, 2009 (16.816261693517 yrs)
Last Updated
Oct 15, 2009
License
13451 (OR)
Sole Proprietor
Yes

Practice Information

Address
1327 NW LEXINGTON AVE.
BEND, OR, 97701
Browse OR providers · Browse ZIP 97701
Phone
5414205278
Primary Specialty
Specialist
174400000X

Other Specialist Providers in BEND, OR

Name Credential NPI
DR. ROBERT L SHANNON MD 1609850254
KENT D YUNDT MD 1275518797
DR. GREGG DARIUS AZIN MD 1447238902
JEFFREY V ABSALON MD 1225003833
DR. ANTHONY G HADDEN M.D. 1396701504
MICHAEL J MASTRANGELO M.D. 1306802350
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.