| Central Oregon Tms Llc, Dba Md Telepsychiatry | |
|
19550 Amber Meadow Dr Ste 130-1077 Bend OR 97702-3525 | |
| (541) 728-3702 | |
| Not Available |
| Full Name | Central Oregon Tms Llc, Dba Md Telepsychiatry |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 19550 Amber Meadow Dr Ste 130-1077, Bend, Oregon |
| Authorized Official Name and Position | Matthew Todd Boire (OWNER) |
| Authorized Official Contact | 5417283702 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Oregon Tms Llc, Dba Md Telepsychiatry 19550 Amber Meadow Dr Ste 130-1077 Bend OR 97702-3525 Ph: (541) 728-3702 | Central Oregon Tms Llc, Dba Md Telepsychiatry 19550 Amber Meadow Dr Ste 130-1077 Bend OR 97702-3525 Ph: (541) 728-3702 |
| NPI Number | 1558947812 |
|---|---|
| Provider Enumeration Date | 03/18/2021 |
| Last Update Date | 04/20/2021 |
| Certification Date | 04/20/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558947812 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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