| Midoregon Mental Health | |
|
131 Nw Hawthorne Ave Ste 207 Bend OR 97703-2958 | |
| (541) 460-5194 | |
| (541) 647-1331 |
| Full Name | Midoregon Mental Health |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 131 Nw Hawthorne Ave Ste 207, Bend, Oregon |
| Authorized Official Name and Position | Lindsay D Shaver (OPERATIONS DIRECTOR) |
| Authorized Official Contact | 5414605194 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Midoregon Mental Health 131 Nw Hawthorne Ave Ste 207 Bend OR 97703-2958 Ph: (541) 460-5194 | Midoregon Mental Health 131 Nw Hawthorne Ave Ste 207 Bend OR 97703-2958 Ph: (541) 460-5194 |
| NPI Number | 1982230306 |
|---|---|
| Provider Enumeration Date | 03/17/2020 |
| Last Update Date | 08/05/2020 |
| Certification Date | 08/05/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982230306 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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