| Sean Downes Llc | |
|
777 Nw Wall St Ste 202 Bend OR 97703-2760 | |
| (541) 728-3877 | |
| Not Available |
| Full Name | Sean Downes Llc |
|---|---|
| Speciality | Social Worker |
| Location | 777 Nw Wall St Ste 202, Bend, Oregon |
| Authorized Official Name and Position | Michael Sean Downes (OWNER) |
| Authorized Official Contact | 5052503805 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sean Downes Llc 777 Nw Wall St Ste 202 Bend OR 97703-2760 Ph: (541) 728-3877 | Sean Downes Llc 777 Nw Wall St Ste 202 Bend OR 97703-2760 Ph: (541) 728-3877 |
| NPI Number | 1154891547 |
|---|---|
| Provider Enumeration Date | 11/28/2018 |
| Last Update Date | 12/19/2018 |
| Medicare PECOS PAC ID | 3072854082 |
|---|---|
| Medicare Enrollment ID | O20190401000330 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154891547 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Michael Sean Downes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295005080 PECOS PAC ID: 1052632544 Enrollment ID: I20170601000087 |
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