Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jesse Vandenborn

Individual provider Massage Therapist · NPI 1205669496

Jesse Vandenborn is a Massage Therapist in Bend, Oregon. Licensed in Oregon. Registered with an NPI since 2024.

Licensed in
OR
In the registry since
2024

Practice location Address checks out

61239 Tetherow Dr Ste 208
Bend, OR 97702-3734
Phone: (541) 393-9648
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 28374 (OR)

Record details

NPI number1205669496
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 22, 2024
Last updated in NPPESAugust 22, 2024
Certification dateAugust 22, 2024
Mailing address1630 Nw Portland Ave, Bend, OR 97703-1409

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