Life Dynamics Llc | |
2100 Ne Neff Rd Ste B Bend OR 97701-6213 | |
(541) 647-2132 | |
(541) 728-0109 |
Full Name | Life Dynamics Llc |
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Speciality | Clinic/center - Adult Mental Health |
Location | 2100 Ne Neff Rd Ste B, Bend, Oregon |
Authorized Official Name and Position | Elaine Michele Brown (LLC SOLE MEMBER) |
Authorized Official Contact | 5417711548 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Life Dynamics Llc 2100 Ne Neff Rd Ste B Bend OR 97701-6213 Ph: (541) 647-2132 | Life Dynamics Llc 2100 Ne Neff Rd Ste B Bend OR 97701-6213 Ph: (541) 647-2132 |
NPI Number | 1790058311 |
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Provider Enumeration Date | 02/13/2012 |
Last Update Date | 02/13/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1790058311 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0850X | Clinic/center - Adult Mental Health | 2011 (Oregon) | Primary |
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