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Organization
MOUNTAIN RIVER COUNSELING AND CONSULTING LLC
Active
Organization
MOUNTAIN RIVER COUNSELING AND CONSULTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD EWE PHD (OWNER)
(425) 654-0424
Entity
Organization
Contact information
Practice address
20273 REED LN, BEND, OR 97702
(425) 654-0424
Mailing address
61141 S HWY 97 # 226, BEND, OR 97702-2523
(425) 654-0424
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500810109
—
OR
Enumeration date
02/03/2023
Last updated
12/05/2024
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