Northwest Discovery | |
361 Ne Franklin Ave Bldg E Bend OR 97701-4917 | |
(541) 241-3109 | |
(541) 241-3109 |
Full Name | Northwest Discovery |
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Speciality | Counselor - Mental Health |
Location | 361 Ne Franklin Ave Bldg E, Bend, Oregon |
Authorized Official Name and Position | Richard Charles Streeter (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 5416479609 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Northwest Discovery 70 Sw Century Dr Ste 100-118 Bend OR 97702-3557 Ph: (541) 647-9609 | Northwest Discovery 361 Ne Franklin Ave Bldg E Bend OR 97701-4917 Ph: (541) 241-3109 |
NPI Number | 1245779354 |
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Provider Enumeration Date | 02/22/2017 |
Last Update Date | 03/17/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245779354 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | C3674 (Oregon) | Primary |
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