Provider Demographics
NPI:1346710340
Name:SENSENBACH ENTERPRISES INC
Entity Type:Organization
Organization Name:SENSENBACH ENTERPRISES INC
Other - Org Name:MARIPOSA BEAUTY AND WELLNESS BOUTIQUE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TODD
Authorized Official - Middle Name:
Authorized Official - Last Name:SENSENBACH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:541-306-1302
Mailing Address - Street 1:3855 SW 35TH ST
Mailing Address - Street 2:
Mailing Address - City:REDMOND
Mailing Address - State:OR
Mailing Address - Zip Code:97756-7164
Mailing Address - Country:US
Mailing Address - Phone:541-604-4449
Mailing Address - Fax:
Practice Address - Street 1:2680 NE HIGHWAY 20 STE 370
Practice Address - Street 2:
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97701-6224
Practice Address - Country:US
Practice Address - Phone:541-383-8085
Practice Address - Fax:541-389-2683
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-03
Last Update Date:2022-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
No1744P3200XOther Service ProvidersSpecialistProsthetics Case ManagementGroup - Single Specialty