Mid-oregon Counseling, Llc | |
220 Nw Oregon Ave Ste 202 Bend OR 97703-2745 | |
(541) 410-5021 | |
Not Available |
Full Name | Mid-oregon Counseling, Llc |
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Speciality | Social Worker |
Location | 220 Nw Oregon Ave Ste 202, Bend, Oregon |
Authorized Official Name and Position | Rebecca Ann Timms (OWNER/PROVIDER) |
Authorized Official Contact | 5414105021 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Mid-oregon Counseling, Llc 21032 Bayou Dr Bend OR 97702-2438 Ph: (541) 410-5021 | Mid-oregon Counseling, Llc 220 Nw Oregon Ave Ste 202 Bend OR 97703-2745 Ph: (541) 410-5021 |
NPI Number | 1619536349 |
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Provider Enumeration Date | 06/06/2019 |
Last Update Date | 09/18/2019 |
Medicare PECOS PAC ID | 5991119596 |
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Medicare Enrollment ID | O20210121002548 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619536349 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Rebecca A Timms |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1548481732 PECOS PAC ID: 4789098393 Enrollment ID: I20210121003129 |
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