| Peace Of Mind Functional Medicine | |
|
151 Sw Shevlin Hixon Dr Ste 201 Bend OR 97702-3233 | |
| (458) 202-9231 | |
| (541) 797-6113 |
| Full Name | Peace Of Mind Functional Medicine |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 151 Sw Shevlin Hixon Dr Ste 201, Bend, Oregon |
| Authorized Official Name and Position | Mary Kate Coppedge (OWNER) |
| Authorized Official Contact | 5412229231 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peace Of Mind Functional Medicine 151 Sw Shevlin Hixon Dr Ste 201 Bend OR 97702-3233 Ph: (458) 202-9231 | Peace Of Mind Functional Medicine 151 Sw Shevlin Hixon Dr Ste 201 Bend OR 97702-3233 Ph: (458) 202-9231 |
| NPI Number | 1083240386 |
|---|---|
| Provider Enumeration Date | 03/18/2020 |
| Last Update Date | 03/18/2020 |
| Certification Date | 03/18/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083240386 | NPI | - | NPPES |
| 1194057661 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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