MEDICARE: SALLY DIANE DIGIROLAMO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	246Z00000X	Other Specialist/Technologist	BAP-E-10268737	OR

General Provider Information

NPI Number	:	1306771605
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SALLY DIANE DIGIROLAMO

Provider Business Mailing Address
First Line	:	1432 NW HARTFORD AVE
Second Line	:
City	:	BEND
State	:	OR
Zip	:	97703-2450
Country	:	US
Telephone Number	:	818-207-0569
Fax Number	:

Provider Business Practice Location Address
First Line	:	888 NW HILL ST STE 4
Second Line	:
City	:	BEND
State	:	OR
Zip	:	97703-2972
Country	:	US
Telephone Number	:	818-207-0569
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/17/2026
Last Update Date	:	06/17/2026

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Directions to “ SALLY DIANE DIGIROLAMO ” Practice Location

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