| Central Oregon Cognitive Assessment & Rehabilitation | |
|
19855 4th St Ste 106 Bend OR 97703-7814 | |
| (541) 316-0648 | |
| (541) 610-1550 |
| Full Name | Central Oregon Cognitive Assessment & Rehabilitation |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 19855 4th St Ste 106, Bend, Oregon |
| Authorized Official Name and Position | Theresa Lee Demadura (OWNER) |
| Authorized Official Contact | 5033146942 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Oregon Cognitive Assessment & Rehabilitation 8778 Coopers Hawk Dr Redmond OR 97756-5012 Ph: (503) 314-6942 | Central Oregon Cognitive Assessment & Rehabilitation 19855 4th St Ste 106 Bend OR 97703-7814 Ph: (541) 316-0648 |
| NPI Number | 1619669017 |
|---|---|
| Provider Enumeration Date | 05/23/2023 |
| Last Update Date | 05/23/2023 |
| Certification Date | 05/23/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619669017 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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