IndividualActive
Jaclyn Gamboa, PT
NPI 1225649205 · Pediatric Physical Therapist · Bend, OR
Provider details
- NPI number
- 1225649205
- Entity type
- Individual
- Primary specialty
- Pediatric Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
2600 Ne Neff Rd
Bend, OR 97701-6337
Phone: (541) 706-6843
Fax: (541) 598-3444
Approximate (ZIP-level) locationGet directions
Mailing address
983 Sw 25th Ln
Redmond, OR 97756-1325
Additional practice locations (1)
- 2500 Ne Neff RdBend, OR 97701-6015Phone: (541) 706-2900
Registry dates
- Enumerated
- 2020-08-12
- Last updated
- 2025-11-26
- Certified
- 2025-11-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.