IndividualActive
Jordan Neistat, NBC-HWC
NPI 1811760804 · Health & Wellness Coach · Bend, OR
Provider details
- NPI number
- 1811760804
- Entity type
- Individual
- Primary specialty
- Health & Wellness CoachOther Service Providers
- Credential
- NBC-HWC
- Sex
- Female
- Sole proprietor
- Yes
- License
- A-3785068
Specialties & taxonomies
Other Service Providers
Practice location
20444 Brentwood Ave
Bend, OR 97702-3289
Phone: (617) 595-5990
Approximate (ZIP-level) locationGet directions
Mailing address
20444 Brentwood Ave
Bend, OR 97702-3289
Registry dates
- Enumerated
- 2023-11-01
- Last updated
- 2023-11-01
- Certified
- 2023-11-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.