Jesse Vandenborn

NPI #1205669496 in Bend, Oregon

Provider Information

NPI Number: 1205669496
Entity Type: Individual
Name: Jesse Vandenborn
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Enumeration Date: Aug 22, 2024
Last Updated: Aug 22, 2024

Practice Location

Address: 61239 TETHEROW DR STE 208
City: Bend
State: Oregon
ZIP Code: 97702-3734
Phone: (541) 393-9648

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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