Provider Demographics
NPI:1194930792
Name:HEBERT, MARIE ANN (DC)
Entity type:Individual
Prefix:
First Name:MARIE
Middle Name:ANN
Last Name:HEBERT
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:MARIE
Other - Middle Name:ANN
Other - Last Name:REEGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:1425 NE REVERE AVE
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97701
Mailing Address - Country:US
Mailing Address - Phone:541-382-7451
Mailing Address - Fax:541-382-9595
Practice Address - Street 1:1425 NE REVERE AVE
Practice Address - Street 2:
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97701
Practice Address - Country:US
Practice Address - Phone:541-382-9595
Practice Address - Fax:541-382-9595
Is Sole Proprietor?:No
Enumeration Date:2007-05-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR273273111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor