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Bend Therapist, LLC

Community/Behavioral Health in Bend, OR. Organization (NPI-2).

NPI number1962881706
StatusActive
Last updated in NPPESMay 27, 2015

Details

NPI
1962881706
Entity type
Organization (NPI-2)
Legal business name
Bend Therapist, LLC
Organization subpart
No
Enumeration date
May 27, 2015
Last updated
May 27, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral HealthL5470ORYes

Practice location

2140 Nw Clearwater Dr
Bend, OR 97701-7013

Phone 541-410-5603

Mailing address

745 Nw Mt Washington Dr
Suite 301
Bend, OR 97701-1574

Phone 541-410-5603

Authorized official

Lisa Rosen
Provider
5414105603

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