MEDICARE: GIANNA BELZA

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	363A00000X	Physician Assistant

General Provider Information

NPI Number	:	1023964525
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GIANNA BELZA

Provider Business Mailing Address
First Line	:	85 NW WILMINGTON AVE
Second Line	:
City	:	BEND
State	:	OR
Zip	:	97703-1232
Country	:	US
Telephone Number	:	541-480-8715
Fax Number	:

Provider Business Practice Location Address
First Line	:	85 NW WILMINGTON AVE
Second Line	:
City	:	BEND
State	:	OR
Zip	:	97703-1232
Country	:	US
Telephone Number	:	541-318-0416
Fax Number	:

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

Provider Enumeration Date	:	03/06/2026
Last Update Date	:	03/06/2026

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Directions to “ GIANNA BELZA ” Practice Location

Language	Start Address	Practice Location

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