Bruce Jarrod Kandle, LMT, MP is a
Massage Therapist based in Weston, Oregon. Bruce Jarrod Kandle is licensed to practice in Washington (license number MA 60563683) and his current practice location is
77895 Lupine Ln, Weston, Oregon. He can be reached at his office (for appointments etc.) via phone at
(541) 566-2725.
NPI number for Bruce Jarrod Kandle is 1689059552 and his current mailing address is 77895 Lupine Ln, Weston, Oregon. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1689059552.
Healthcare Provider's Profile
| Full Name | Bruce Jarrod Kandle |
|---|
| Gender | Male |
|---|
| Speciality | Massage Therapist |
|---|
| Location | 77895 Lupine Ln, Weston, Oregon |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1689059552
- Provider Enumeration Date: 07/21/2015
- Last Update Date: 07/21/2015
Medical Identifiers
Medical identifiers for Bruce Jarrod Kandle such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1689059552 | NPI | - | NPPES |
| MA60563683 | Other | WA | MASSAGE THERAPIST |
| 21472 | Other | OR | MASSAGE THERAPIST |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225700000X | Massage Therapist | MA 60563683 (Washington) | Primary |
| 225700000X | Massage Therapist | 21472 (Oregon) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Bruce Jarrod Kandle is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Bruce Jarrod Kandle, LMT, MP
77895 Lupine Ln,
Weston, OR 97886-6006
Ph: (541) 566-2725 | Bruce Jarrod Kandle, LMT, MP
77895 Lupine Ln,
Weston, OR 97886-6006
Ph: (541) 566-2725 |
Reviews and Comments