Provider Demographics
NPI:1437886546
Name:FRANKLIN, CECILY JEAN (MS, CN)
Entity Type:Individual
Prefix:
First Name:CECILY
Middle Name:JEAN
Last Name:FRANKLIN
Suffix:
Gender:F
Credentials:MS, CN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:440 NW RIVERFRONT ST
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97703-2533
Mailing Address - Country:US
Mailing Address - Phone:360-961-9432
Mailing Address - Fax:
Practice Address - Street 1:440 NW RIVERFRONT ST
Practice Address - Street 2:
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97703-2533
Practice Address - Country:US
Practice Address - Phone:360-961-9432
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-08
Last Update Date:2022-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist