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Contact Information

CAROLYN R CLONTZ
1128 NW HARRIMAN STREET
BEND, OR97703-7565
 Phone: 541-322-7500
 Fax: 541-322-7565
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Health Educator

174H00000X
 

Community Health Worker

172V00000X
Indicates primary specialty

NPI Profile & details for CAROLYN R CLONTZ · (Female)

NPI # 1295307486
Status Active
Credentials
Entity Individual
Enumeration date 07/15/2021
Last updated 07/16/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • OR License # 1295307486
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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