Provider Demographics
NPI:1043382500
Name:STRAUCH, CINDA MICHELE (LMT)
Entity Type:Individual
Prefix:
First Name:CINDA
Middle Name:MICHELE
Last Name:STRAUCH
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1324 NW ITHACA AVE
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97701-2223
Mailing Address - Country:US
Mailing Address - Phone:541-408-7204
Mailing Address - Fax:
Practice Address - Street 1:628 NW YORK DR
Practice Address - Street 2:
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97701-1572
Practice Address - Country:US
Practice Address - Phone:541-388-2429
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR7127174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist