Healthcare Provider Details

I. General information

NPI: 1881452373
Provider Name (Legal Business Name): JESSICA FRENKEL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/08/2024
Last Update Date: 02/17/2026
Certification Date: 02/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2600 NE NEFF RD
BEND OR
97701-6337
US

IV. Provider business mailing address

20742 BARTON CROSSING WAY
BEND OR
97701-7711
US

V. Phone/Fax

Practice location:
  • Phone: 541-706-4800
  • Fax: 541-706-4806
Mailing address:
  • Phone: 719-849-1916
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: