IndividualActive
Jonnie Whitcomb, LMT
NPI 1063867026 · Contractor · Bend, OR
Provider details
- NPI number
- 1063867026
- Entity type
- Individual
- Primary specialty
- ContractorOther Service Providers
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- Yes
- License
- 15718 (OR)
Mailing address
20474 Jacklight Ln
Bend, OR 97702-3074
Registry dates
- Enumerated
- 2016-04-27
- Last updated
- 2016-04-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.