| St. Charles Behavioral Health | |
|
2542 Ne Courtney Dr Bend OR 97701-7685 | |
| (541) 706-2768 | |
| (541) 706-4760 |
| Full Name | St. Charles Behavioral Health |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2542 Ne Courtney Dr, Bend, Oregon |
| Authorized Official Name and Position | Matthew Swafford (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 5413824321 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Charles Behavioral Health Po Box 6095 Bend OR 97708-6095 Ph: (541) 382-4321 | St. Charles Behavioral Health 2542 Ne Courtney Dr Bend OR 97701-7685 Ph: (541) 706-2768 |
| NPI Number | 1780698696 |
|---|---|
| Provider Enumeration Date | 07/28/2006 |
| Last Update Date | 05/05/2023 |
| Certification Date | 05/05/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780698696 | NPI | - | NPPES |
| 500400455 | Medicaid | OR |
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