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Kallie Michelle Sanborn
Peer Specialist in Bend, Oregon
NPI 1346920766

Kallie Michelle Sanborn is a Peer Specialist based in Bend, OR. Kallie Michelle Sanborn practices in Bend, OR. The NPI Number for Kallie Michelle Sanborn is 1346920766 and holds a License No. (Oregon).

The current practice location address for Kallie Michelle Sanborn is 1340 Nw Wall St, Bend, OR and can be reached out via phone at 541-322-7500 and via fax at 541-322-7565.

Location: 1340 Nw Wall St, Bend, OR, 97701-7752
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1346920766
Provider Name
Kallie Michelle Sanborn
Credential
Provider Entity Type
Individual
Gender
Female
Address
1340 Nw Wall St, Bend, OR, 97701-7752
Phone Number
541-322-7500
Fax Number
541-322-7565
Provider Enumeration Date
07/20/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1340 Nw Wall St
City
Bend
State
Oregon
Zip
97703-1985
Phone Number
541-322-7500
Fax Number
541-322-7565
person
Provider Business Mailing Address Details
Address
1340 Nw Wall St
City
Bend
State
Oregon
Zip
97703-1985
Phone Number
541-322-7500
Fax Number
541-322-7565
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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