Provider Demographics
NPI:1801412671
Name:HOSFORD, EMILY
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:HOSFORD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:855 SW YATES DR STE 201
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97702-3217
Mailing Address - Country:US
Mailing Address - Phone:541-588-6350
Mailing Address - Fax:541-204-3534
Practice Address - Street 1:855 SW YATES DR STE 201
Practice Address - Street 2:
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97702-3217
Practice Address - Country:US
Practice Address - Phone:541-588-6350
Practice Address - Fax:541-204-3534
Is Sole Proprietor?:No
Enumeration Date:2020-06-17
Last Update Date:2024-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR522582225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist