# MID-OREGON COUNSELING, LLC

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

## Provider details

- **NPI number:** 1619536349
- **Authorized official:** REBECCA ANN TIMMS LCSW (OWNER/PROVIDER)
- **Authorized official phone:** (541) 410-5021

## Contact information

- **Practice address:** 220 NW OREGON AVE STE 202, BEND, OR 97703-2745
- **Practice address phone:** (541) 410-5021
- **Mailing address:** 21032 BAYOU DR, BEND, OR 97702-2438
- **Mailing address phone:** (541) 410-5021

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 06/06/2019
- **Last updated:** 09/18/2019
