Jessica Wallick

Specialist · Bend, OR

Individual Active NPI

NPI number 1033444575

Practice location

1327 NW Lexington Ave.
Bend, OR 97701
Phone
(541) 420-5278

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NPI record

NPI
1033444575
Entity type
Individual (Type 1)
Enumeration date
October 15, 2009
Last updated
October 15, 2009
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Specialist Primary 174400000X 13451 OR

About Jessica Wallick

Jessica Wallick is a healthcare provider registered in the NPI registry with the primary taxonomy Specialist (code 174400000X). The practice location is 1327 NW Lexington Ave., Bend, OR 97701. The NPI number 1033444575 was assigned on October 15, 2009 and the record was last updated on October 15, 2009.

Jessica Wallick lists a license in the registry: #13451 (OR) for Specialist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jessica Wallick?

The NPI number is 1033444575.

What is the phone number of Jessica Wallick?

The phone number listed for the practice location is (541) 420-5278.

Where is Jessica Wallick located?

1327 NW Lexington Ave., Bend, OR 97701.

What is the taxonomy code for Jessica Wallick?

The primary taxonomy code is 174400000X – Specialist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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