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60575 Billadeau Rd Bend OR 97702-9338 | |
| (541) 904-0026 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 60575 Billadeau Rd, Bend, Oregon |
| Authorized Official Name and Position | Lisa M Bradley (OWNER) |
| Authorized Official Contact | 4582060337 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
61843 Dobbin Rd Bend OR 97702-9536 Ph: (303) 956-1427 | 60575 Billadeau Rd Bend OR 97702-9338 Ph: (541) 904-0026 |
| NPI Number | 1033702196 |
|---|---|
| Provider Enumeration Date | 02/18/2021 |
| Last Update Date | 01/25/2024 |
| Certification Date | 01/25/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033702196 | NPI | - | NPPES |
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