Healthcare Provider Details

I. General information

NPI: 1346710340
Provider Name (Legal Business Name): SENSENBACH ENTERPRISES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/03/2018
Last Update Date: 10/26/2022
Certification Date: 10/26/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2680 NE HIGHWAY 20 STE 370
BEND OR
97701-6224
US

IV. Provider business mailing address

3855 SW 35TH ST
REDMOND OR
97756-7164
US

V. Phone/Fax

Practice location:
  • Phone: 541-383-8085
  • Fax: 541-389-2683
Mailing address:
  • Phone: 541-604-4449
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1744P3200X
TaxonomyProsthetics Case Management
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: TODD SENSENBACH
Title or Position: CO-OWNER
Credential:
Phone: 541-306-1302