IndividualActive
Jamie Bovik
NPI 1407450232 · Community Health Worker · La Pine, OR
Provider details
- NPI number
- 1407450232
- Entity type
- Individual
- Primary specialty
- Community Health WorkerOther Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- THW000004135 (OR)
Specialties & taxonomies
Other Service Providers
Practice location
51600 Huntington Rd
La Pine, OR 97739-8887
Phone: (541) 536-3435
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 3300
La Pine, OR 97739-3300
Registry dates
- Enumerated
- 2020-11-23
- Last updated
- 2020-11-23
- Certified
- 2020-11-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.