| Central Oregon Family Therapy | |
|
2622 Sw Glacier Pl Ste 120 Redmond OR 97756-7866 | |
| (541) 233-9153 | |
| Not Available |
| Full Name | Central Oregon Family Therapy |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2622 Sw Glacier Pl Ste 120, Redmond, Oregon |
| Authorized Official Name and Position | Jodi Peterson (OWNER/MANAGER) |
| Authorized Official Contact | 5412339153 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Oregon Family Therapy 2622 Sw Glacier Pl Ste 120 Redmond OR 97756-7866 Ph: (541) 233-9153 | Central Oregon Family Therapy 2622 Sw Glacier Pl Ste 120 Redmond OR 97756-7866 Ph: (541) 233-9153 |
| NPI Number | 1356930424 |
|---|---|
| Provider Enumeration Date | 01/13/2021 |
| Last Update Date | 03/02/2023 |
| Certification Date | 03/02/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356930424 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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