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552 Nw Saginaw Ave # 2 Bend OR 97703-1120 | |
| (541) 388-1261 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 552 Nw Saginaw Ave # 2, Bend, Oregon |
| Authorized Official Name and Position | Liesl Farnsworth (OWNER) |
| Authorized Official Contact | 5413881261 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
552 Nw Saginaw Ave # 2 Bend OR 97703-1120 Ph: (541) 388-1261 | 552 Nw Saginaw Ave # 2 Bend OR 97703-1120 Ph: (541) 388-1261 |
| NPI Number | 1861034951 |
|---|---|
| Provider Enumeration Date | 10/10/2019 |
| Last Update Date | 05/07/2021 |
| Certification Date | 05/07/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861034951 | NPI | - | NPPES |
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