River Bend Therapy, LLC
Community/Behavioral Health in Bend, OR. Organization (NPI-2).
NPI number1982172896
StatusActive
Last updated in NPPESApr 9, 2020
Details
- NPI
- 1982172896
- Entity type
- Organization (NPI-2)
- Legal business name
- River Bend Therapy, LLC
- Organization subpart
- No
- Enumeration date
- Nov 8, 2018
- Certification date
- Apr 9, 2020
- Last updated
- Apr 9, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
Practice location
147 Sw Shevlin Hixon Dr Ste 201Bend, OR 97702-1137
Phone 415-465-2922 · Fax 541-610-1884
Mailing address
320 Sw Century Dr Ste 405-175Bend, OR 97702-3037
Authorized official
Michelle Hallinan
Licensed Clinical Social Worker
5415810085
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