| Big Sky Mind, Llc | |
|
2900 Nw Clearwater Dr Ste 310 Bend OR 97703-9412 | |
| (541) 668-6678 | |
| Not Available |
| Full Name | Big Sky Mind, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2900 Nw Clearwater Dr Ste 310, Bend, Oregon |
| Authorized Official Name and Position | Adam Klaybor (OWNER) |
| Authorized Official Contact | 5416686678 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Big Sky Mind, Llc 3527 Ne Crystal Springs Dr Bend OR 97701-7438 Ph: (541) 668-6678 | Big Sky Mind, Llc 2900 Nw Clearwater Dr Ste 310 Bend OR 97703-9412 Ph: (541) 668-6678 |
| NPI Number | 1699446450 |
|---|---|
| Provider Enumeration Date | 09/22/2021 |
| Last Update Date | 09/22/2021 |
| Certification Date | 09/22/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699446450 | NPI | - | NPPES |
| 500794020 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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