Oregon Psych NP, LLC
Nurse Practitioner, Psych/Mental Health in Bend, OR. Organization (NPI-2).
NPI number1760144166
StatusActive
Last updated in NPPESFeb 19, 2025
Details
- NPI
- 1760144166
- Entity type
- Organization (NPI-2)
- Legal business name
- Oregon Psych NP, LLC
- Organization subpart
- Yes
- Enumeration date
- Oct 13, 2021
- Certification date
- Feb 19, 2025
- Last updated
- Feb 19, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | – | – | Yes |
Other names
- Kimberly Sue Butler (Other Name)
- Oregon Psych NP, LLC (Other Name)
Practice location
1569 Sw Nancy Way Ste 2Bend, OR 97702-3234
Phone 541-382-1395 · Fax 541-382-6576
Mailing address
Po Box 5264Bend, OR 97708-5264
Phone 503-853-9356
Authorized official
Kimberly Sue Butler
Managing Member
5413821395
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