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NPI 1366803827

IndividualActive

Cassidy Mooney

NPI 1366803827 · Contractor · Bend, OR

Provider details

NPI number: 1366803827
Entity type: Individual
Primary specialty: ContractorOther Service Providers
Sex: Female
Sole proprietor: Yes
License: 10096 (OR)

Practice location

1045 Nw Bond St

Bend, OR 97703-2043

Phone: (541) 610-4291

More OR providers

Mailing address

1147 Ne Viking Ct

Bend, OR 97701-3961

Registry dates

Enumerated: 2016-03-11
Last updated: 2016-03-11

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Cassidy Mooney — NPI 1366803827, Bend, OR | NPI Central