| Tara M Sobrio | |
|
497 Sw Century Dr Ste 102 Bend OR 97702-1167 | |
| (541) 788-8380 | |
| Not Available |
| Full Name | Tara M Sobrio |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 497 Sw Century Dr Ste 102, Bend, Oregon |
| Authorized Official Name and Position | Tara M Sobrio (OWNER/PROVIDER) |
| Authorized Official Contact | 5417888380 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tara M Sobrio 2669 Ne Community Ln Bend OR 97701-6629 Ph: (541) 788-8380 | Tara M Sobrio 497 Sw Century Dr Ste 102 Bend OR 97702-1167 Ph: (541) 788-8380 |
| NPI Number | 1104475755 |
|---|---|
| Provider Enumeration Date | 09/06/2019 |
| Last Update Date | 09/06/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104475755 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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