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550 Nw Franklin Ave Ste 268 Bend OR 97703-2894 | |
| (503) 379-1902 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 550 Nw Franklin Ave Ste 268, Bend, Oregon |
| Authorized Official Name and Position | Lawrence K Robbins (GENERAL MANAGER) |
| Authorized Official Contact | 5033791902 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2110 Mission St Se Ste 305 Salem OR 97302-0038 Ph: (503) 379-1902 | 550 Nw Franklin Ave Ste 268 Bend OR 97703-2894 Ph: (503) 379-1902 |
| NPI Number | 1881348647 |
|---|---|
| Provider Enumeration Date | 02/09/2022 |
| Last Update Date | 09/13/2022 |
| Certification Date | 09/13/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881348647 | NPI | - | NPPES |
| 500754977 | Medicaid | OR |
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