Sally Champa

NPI #1083048276 in Bend, Oregon

Provider Information

NPI Number
1083048276
Entity Type
Individual
Name
Sally Champa
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist
Enumeration Date
Aug 24, 2013
Last Updated
Aug 24, 2013

Practice Location

Address
816 NW HILL ST
City
Bend
State
Oregon
ZIP Code
97701-2925
Phone
(541) 280-2517

Specialties & Taxonomy Codes

Specialty
Specialist

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