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Organization (NPI-2)
Active
Psychiatry & Neurology, Psychiatry
Provider Information
- NPI Number
1811484603- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 2239 NE DOCTORS DR STE 110, BEND, OR, 977017185
- Phone
- (541) 323-8705
- Fax
- (541) 323-8708
Specialties & Taxonomies
Psychiatry & Neurology, Psychiatry
Primary License: OR #MD28568