| David Stetson Lcsw Inc. | |
|
548 Sw 13th St Bend OR 97702-3184 | |
| (541) 771-2324 | |
| Not Available |
| Full Name | David Stetson Lcsw Inc. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 548 Sw 13th St, Bend, Oregon |
| Authorized Official Name and Position | David Earl Stetson (PRESIDENT) |
| Authorized Official Contact | 5417712324 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| David Stetson Lcsw Inc. Po Box 8475 Bend OR 97708-8475 Ph: (541) 771-2324 | David Stetson Lcsw Inc. 548 Sw 13th St Bend OR 97702-3184 Ph: (541) 771-2324 |
| NPI Number | 1891034880 |
|---|---|
| Provider Enumeration Date | 02/11/2013 |
| Last Update Date | 05/29/2013 |
| Medicare PECOS PAC ID | 8426298019 |
|---|---|
| Medicare Enrollment ID | O20130702000319 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891034880 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 2106 (Oregon) | Primary |
| Provider Name | David E Stetson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114125150 PECOS PAC ID: 9234182338 Enrollment ID: I20050301000690 |
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