Provider Demographics
NPI:1922406792
Name:BEDASBAD, CHRISTY SABRINA (ND, LAC)
Entity type:Individual
Prefix:DR
First Name:CHRISTY
Middle Name:SABRINA
Last Name:BEDASBAD
Suffix:
Gender:F
Credentials:ND, LAC
Other - Prefix:DR
Other - First Name:CHRISTY
Other - Middle Name:SABRINA
Other - Last Name:MASBAD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ND, LAC
Mailing Address - Street 1:335 NE REVERE AVE
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97701-4059
Mailing Address - Country:US
Mailing Address - Phone:541-728-3790
Mailing Address - Fax:541-306-6416
Practice Address - Street 1:335 NE REVERE AVE
Practice Address - Street 2:
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97701-1167
Practice Address - Country:US
Practice Address - Phone:541-728-3790
Practice Address - Fax:541-306-6416
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-10
Last Update Date:2018-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORAC179408171100000X
AZ14-1475175F00000X
OR4041175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
No171100000XOther Service ProvidersAcupuncturist