MEDICARE: MS. SONJA LINDQUIST RD, CDCES

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	133V00000X	Registered Dietitian	727131	CA

General Provider Information

NPI Number	:	1326981101
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SONJA LINDQUIST RD, CDCES

Provider Business Mailing Address
First Line	:	1555 NW AWBREY RD
Second Line	:
City	:	BEND
State	:	OR
Zip	:	97703-1830
Country	:	US
Telephone Number	:	408-203-3288
Fax Number	:

Provider Business Practice Location Address
First Line	:	1555 NW AWBREY RD
Second Line	:
City	:	BEND
State	:	OR
Zip	:	97703-1830
Country	:	US
Telephone Number	:	408-203-3288
Fax Number	:

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

Provider Enumeration Date	:	04/14/2026
Last Update Date	:	04/14/2026

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