Ken Roper is a Driver based in Bend, OR. Ken Roper practices in Bend, OR. The NPI Number for Ken Roper is 1417371378 and holds a License No. 1593248-4 (Oregon).
The current practice location address for Ken Roper is 55907 Wood Duck Dr, Bend, OR and can be reached out via phone at 541-771-9542.
Location: 55907 Wood Duck Dr, Bend, OR, 97707-2344
Provider Profile Details
NPI Number
1417371378
Provider Name
Ken Roper
Credential
Provider Entity Type
Individual
Gender
Male
Address
55907 Wood Duck Dr, Bend, OR, 97707-2344
Phone Number
541-771-9542
Fax Number
Provider Enumeration Date
02/13/2014
Last Update Date
03/09/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1593249-4 | 01 | OR | FEIN 46-4678412 |
Provider Business Practice Location Address Details
Address
55907 Wood Duck Dr
City
State
Zip
97707-2344
Phone Number
541-771-9542
Fax Number
Provider Business Mailing Address Details
Address
55907 Wood Duck Dr
City
State
Zip
97707-2344
Phone Number
541-771-9542
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
License No.
1593248-4 (Oregon)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
Badge
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