| Bend Therapist, Llc | |
|
2140 Nw Clearwater Dr Bend OR 97701-7013 | |
| (541) 410-5603 | |
| Not Available |
| Full Name | Bend Therapist, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2140 Nw Clearwater Dr, Bend, Oregon |
| Authorized Official Name and Position | Lisa Rosen (PROVIDER) |
| Authorized Official Contact | 5414105603 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bend Therapist, Llc 745 Nw Mt Washington Dr Suite 301 Bend OR 97701-1574 Ph: (541) 410-5603 | Bend Therapist, Llc 2140 Nw Clearwater Dr Bend OR 97701-7013 Ph: (541) 410-5603 |
| NPI Number | 1962881706 |
|---|---|
| Provider Enumeration Date | 05/27/2015 |
| Last Update Date | 05/27/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962881706 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | L5470 (Oregon) | Primary |
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