# PEACE OF MIND FUNCTIONAL MEDICINE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083240386
- **Authorized official:** MARY KATE COPPEDGE PMHNP (OWNER)
- **Authorized official phone:** (541) 222-9231

## Contact information

- **Practice address:** 151 SW SHEVLIN HIXON DR STE 201, BEND, OR 97702-3233
- **Practice address phone:** (458) 202-9231
- **Practice address fax:** (541) 797-6113
- **Mailing address:** 151 SW SHEVLIN HIXON DR STE 201, BEND, OR 97702-3233
- **Mailing address phone:** (458) 202-9231
- **Mailing address fax:** (541) 797-6113

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0850X | Adult Mental Health Clinic/Center | — | NULL | — |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/18/2020
- **Last updated:** 03/18/2020