SALLY CHAMPA (NPI# 1083048276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083048276 |
| Entity Type | Individual |
| Full Name | SALLY CHAMPA |
| Practice Address |
816 Nw Hill St Bend OR 97701-2925 |
| Mailing Address |
3354 Ne Hoona Dr Bend OR 97701-8308 |
| Practice Telephone | 5412802517 |
| Enumeration Date | 2013-08-24 |
| Last Update Date | 2013-08-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Street Address |
816 NW HILL ST |
| City | BEND |
| State | OR |
| Zip Code | 97701-2925 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669919981 | Jesse Tristan Slater | Massage Therapist | 816 Nw Hill St, Bend, OR 97703-2925 | 2017-01-24 |
| 1689042871 | Kelly Ward | Specialist | 816 Nw Hill St, Bend, OR 97703-2925 | 2015-09-04 |
| 1851769046 | Tabitha Ward | Specialist | 816 Nw Hill St, Bend, OR 97703-2925 | 2015-09-04 |
| 1033591201 | Bodyworks of Bend | Specialist | 816 Nw Hill St, Bend, OR 97701-2925 | 2015-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104465525 | Andrew Kyle Burzynski | Denturist | 853 Ne 4th St., Bend, OR 97701 | 2020-01-02 |
| 1013480714 | Andrew Traut | Specialist/Technologist | Oregon State Force Lab, 2200 Ne Neff Rd Suite 202, Bend, OR 97701 | 2019-01-04 |
| 1871063917 | Calley Asbill, Nd LLC | Chiropractor | 2146 Ne 4th Street, Suite 160, Bend, OR 97701 | 2018-12-02 |
| 1902372212 | Carisa S Battin | Counselor | 361 Ne Franklin Avenue Bldg E #4, Bend, OR 97701 | 2018-10-15 |
| 1366921223 | Hillside Eye Center LLC | Ophthalmology | 625 Nw Colorado Avenue, Bend, OR 97701 | 2018-08-11 |
| 1528545514 | Kellie Michiko Kawasaki-jones | Dentist | 62968 Ob Riley Road, Suite 12, Bend, OR 97701 | 2018-07-23 |
| 1992255327 | Shelby Chiropractic | Chiropractor | 561 Ne Bellevue Dr Ste 102, Bend, OR 97701 | 2016-10-10 |
| 1144671520 | Kevin Richard Pett | Acupuncturist | 39 Nw Louisanna Ave., Hawthorn Healing Arts Center, Bend, OR 97701 | 2016-06-27 |
| 1912357500 | Sheldon Shawn Doveri | Driver | 233 Nw Revere Ave, Bend, OR 97701 | 2016-06-15 |
| 1740647411 | Anne Power | Homeopath | 2100 Ne Neff Rd Suite B, Bend, OR 97701 | 2016-01-26 |
| Find all providers in zip 97701 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588116180 | Jill Burrows | Specialist | 1546 Nw 3rd St, Bend, OR 97703-2307 | 2016-10-29 |
| 1659825909 | Jordan English | Specialist | 1353 Ne 7th St, Bend, OR 97701-4313 | 2016-08-03 |
| 1235590647 | Gemini Therapeutics | Specialist | 61277 Splendor Ln, Bend, OR 97702-2974 | 2016-03-11 |
| 1114333465 | Donna Chisholm | Specialist | 1435 Nw West Hills Ave, Bend, OR 97701-1040 | 2014-07-08 |
| 1023430139 | Danette Colovos | Specialist | 376 Sw Bluff Dr Ste 2, Bend, OR 97702-1399 | 2014-01-08 |
| 1417384157 | Marci Drum | Specialist | 805 Sw Industrial Way Ste 8, Bend, OR 97702-1093 | 2013-09-26 |
| 1831466853 | Kate Harper Smith | Specialist | 867 Ne Hidden Valley Dr Unit 1, Bend, OR 97701-5968 | 2011-11-18 |
| 1962787341 | Paige Robinson | Specialist | 1232 Nw Milwaukee Ave, Bend, OR 97701-2209 | 2011-10-17 |
| 1346545720 | Robbie Bianchi Dee Bianchi | Specialist | 60801 Brosterhous Rd, Bend, OR 97702-9738 | 2011-01-17 |
| 1275851867 | Evan Ernest Smith | Specialist | 1314 Ne 8th St, Bend, OR 97701-4469 | 2010-05-06 |
| Find all providers in BEND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.