Provider Demographics
NPI:1689030637
Name:LENTZ, ERIN E (CSFA)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:E
Last Name:LENTZ
Suffix:
Gender:F
Credentials:CSFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60898 RAINTREE DR
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97702-9546
Mailing Address - Country:US
Mailing Address - Phone:503-884-3093
Mailing Address - Fax:
Practice Address - Street 1:60898 RAINTREE DR
Practice Address - Street 2:
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97702-9546
Practice Address - Country:US
Practice Address - Phone:503-884-3093
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-06
Last Update Date:2021-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant