| Judy Rotondi Llc | |
|
754 Nw Broadway St Suite 201 Bend OR 97701-2776 | |
| (541) 280-2789 | |
| (541) 383-7121 |
| Full Name | Judy Rotondi Llc |
|---|---|
| Speciality | Social Worker |
| Location | 754 Nw Broadway St, Bend, Oregon |
| Authorized Official Name and Position | Judy Lea Rotondi (SOCIAL WORKER) |
| Authorized Official Contact | 5412802789 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Judy Rotondi Llc 754 Nw Broadway St Suite 201 Bend OR 97701-2776 Ph: (541) 280-2789 | Judy Rotondi Llc 754 Nw Broadway St Suite 201 Bend OR 97701-2776 Ph: (541) 280-2789 |
| NPI Number | 1942441324 |
|---|---|
| Provider Enumeration Date | 03/16/2009 |
| Last Update Date | 03/16/2009 |
| Medicare PECOS PAC ID | 6103973219 |
|---|---|
| Medicare Enrollment ID | O20090407000268 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942441324 | NPI | - | NPPES |
| 1619988706 | Other | OR | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | L2636 (Oregon) | Primary |
| Provider Name | Judy L Rotondi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619988706 PECOS PAC ID: 5991890105 Enrollment ID: I20071003000433 |
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