| Positive Potential | |
|
336 Ne Norton Ave Suite 3 Bend OR 97701-4350 | |
| (541) 312-3090 | |
| (541) 317-8488 |
| Full Name | Positive Potential |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 336 Ne Norton Ave, Bend, Oregon |
| Authorized Official Name and Position | Judith Marie Boone (PRESIDENT) |
| Authorized Official Contact | 5413123090 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Positive Potential 336 Ne Norton Ave Suite 3 Bend OR 97701-4350 Ph: (541) 312-3090 | Positive Potential 336 Ne Norton Ave Suite 3 Bend OR 97701-4350 Ph: (541) 312-3090 |
| NPI Number | 1356374706 |
|---|---|
| Provider Enumeration Date | 07/09/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356374706 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | L3116 (Oregon) | Primary |
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