Provider Demographics
NPI:1235605353
Name:PAYNE, JANELL (ND)
Entity Type:Individual
Prefix:DR
First Name:JANELL
Middle Name:
Last Name:PAYNE
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:151 SW SHEVLIN HIXON DR STE 101
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97702-3232
Mailing Address - Country:US
Mailing Address - Phone:541-797-6346
Mailing Address - Fax:541-871-1032
Practice Address - Street 1:151 SW SHEVLIN HIXON DR STE 101
Practice Address - Street 2:
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97702-3232
Practice Address - Country:US
Practice Address - Phone:541-797-6346
Practice Address - Fax:541-871-1032
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-16
Last Update Date:2020-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR4192175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath