| Susan Clifford | |
|
1001 Sw Emkay Dr Ste 100 Bend OR 97702-3663 | |
| (541) 706-9322 | |
| Not Available |
| Full Name | Susan Clifford |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 1001 Sw Emkay Dr Ste 100, Bend, Oregon |
| Authorized Official Name and Position | Susan Clifford (PSYCHOLOGIST) |
| Authorized Official Contact | 5417069322 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Susan Clifford Po Box 197 Joseph OR 97846-0197 Ph: (541) 706-9322 | Susan Clifford 1001 Sw Emkay Dr Ste 100 Bend OR 97702-3663 Ph: (541) 706-9322 |
| NPI Number | 1275055279 |
|---|---|
| Provider Enumeration Date | 07/11/2017 |
| Last Update Date | 12/22/2023 |
| Certification Date | 12/22/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275055279 | NPI | - | NPPES |
| 1821133802 | Other | CA | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 2693 (Oregon) | Primary |
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