| |
371 Sw Upper Terrace Dr Ste 3 Bend OR 97702-1560 | |
(541) 728-0978 | |
(541) 728-0979 |
Full Name | |
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Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
Location | 371 Sw Upper Terrace Dr Ste 3, Bend, Oregon |
Authorized Official Name and Position | Nathan Osborn (OWNER) |
Authorized Official Contact | 5417280978 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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371 Sw Upper Terrace Dr Ste 3 Bend OR 97702-1560 Ph: (541) 728-0978 | 371 Sw Upper Terrace Dr Ste 3 Bend OR 97702-1560 Ph: (541) 728-0978 |
NPI Number | 1134643943 |
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Provider Enumeration Date | 08/02/2017 |
Last Update Date | 07/21/2022 |
Identifier | Type | State | Issuer |
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1134643943 | NPI | - | NPPES |
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