Active NPIIndividual provider

Mrs. Jennifer M Beal, PTA

Community Health Worker in Bend, Oregon

NPI Number1265758064
Practice location
2366 NW Lakeside Pl, Bend, OR 97701-3535
Fax
—
Last updated
April 19, 2010

Mrs. Jennifer M Beal, PTA is a Community Health Worker based in Bend, OR. Mrs. Jennifer M Beal, PTA holds the professional credentials of PTA. The NPI number for Mrs. Jennifer M Beal, PTA is 1265758064 and holds license No. 7828 (OR). The current practice location address is 2366 NW Lakeside Pl, Bend, OR 97701-3535 and the office can be reached by phone at 541-382-0479. The NPI was assigned on April 19, 2010 and the record was last updated in NPPES on April 19, 2010.

●Provider Profile Details

NPI Number
1265758064
Provider Name
Jennifer Marie Beal
Credential
PTA
Entity Type
Individual (Type 1 NPI)
Gender
Female
Primary Taxonomy
Community Health Worker · 172V00000X
Sole Proprietor
No
Enumeration Date
April 19, 2010
Last Update Date
April 19, 2010
NPI Status
Active

◉Business Practice Location Address

Address
2366 NW Lakeside Pl
Bend, OR 97701-3535
City
Bend
State
Oregon
ZIP
97701-3535
Country
US
Phone Number
541-382-0479

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✉Business Mailing Address

Address
1943 NW 22ND St
Redmond, OR 97756-8449
City
Redmond
State
OR
ZIP
97756-8449
Phone Number
541-280-4050

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Community Health Worker172V00000XYes7828OR

#Other Provider Identifiers

No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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?Frequently Asked Questions

What is the NPI number of Mrs. Jennifer M Beal, PTA?

The NPI number of Mrs. Jennifer M Beal, PTA is 1265758064. It was assigned on April 19, 2010 and is currently active in the NPPES registry.

What is the specialty of Mrs. Jennifer M Beal, PTA?

Mrs. Jennifer M Beal, PTA is registered under the primary taxonomy Community Health Worker (code 172V00000X) and holds license No. 7828 (OR).

Where does Mrs. Jennifer M Beal, PTA practice?

The practice location is 2366 NW Lakeside Pl, Bend, OR 97701-3535. The office can be reached at 541-382-0479 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1265758064 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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