Gamboa, Jaclyn

Gamboa, Jaclyn is an individual health care provider with primary practice located at 2600 Ne Neff Rd , Bend OR 97701-6337. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Gamboa, Jaclyn can be contacted via phone (541) 706-6843.

Contact Information

Primary practice address
2600 Ne Neff Rd Bend OR 97701-6337
Phone: (541) 706-6843
Fax: (541) 598-3444
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X Oregon

Profile Details

NPI number 1225649205
LBN Legal business name Gamboa, Jaclyn
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2020
Last updated Feb 2nd, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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