IndividualActive
Cheryl Bongiovanni, PHD, RVT, CWS
NPI 1700824489 · Specialist · Lakeview, OR
Provider details
- NPI number
- 1700824489
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Credential
- PHD, RVT, CWS
- Sex
- Female
- License
- CERTIFIED WOUND SPEC (OR)
Specialties & taxonomies
Other Service Providers
Practice location
700 S J St
Lakeview, OR 97630-1623
Phone: (541) 517-5169
Fax: (541) 947-3339
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 108
Lakeview, OR 97630-0105
Registry dates
- Enumerated
- 2006-06-03
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.