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Dennis Dean Bundy Jr.

Counselor, Addiction (Substance Use Disorder) in Bend, OR. Individual provider (NPI-1).

NPI number1487427985
StatusActive
Last updated in NPPESNov 6, 2023

Details

NPI
1487427985
Entity type
Individual (NPI-1)
Name
Dennis Dean Bundy Jr.
Sex
Male
Sole proprietor
Yes
Enumeration date
Nov 6, 2023
Certification date
Nov 6, 2023
Last updated
Nov 6, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YA0400X Counselor, Addiction (Substance Use Disorder)–ORYes

Practice location

23 Nw Greenwood Ave
Bend, OR 97703-2078

Phone 541-383-4293

Mailing address

15956 Mountain View Ln
La Pine, OR 97739-9749

Phone 541-647-4262

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