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Organization
LIFE BALANCE BEND LLC
Active
Organization
LIFE BALANCE BEND LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TRAVIS SAMMON LCSW (CO-OWNER)
(541) 306-1898
Entity
Organization
Contact information
Practice address
15 SW COLORADO AVE STE 350, BEND, OR 97702-1130
(541) 306-1898
Mailing address
15 SW COLORADO AVE STE 350, BEND, OR 97702-1130
(541) 306-1898
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
3873
OR
1041C0700X
Clinical Social Worker
Primary
4289
OR
Other
Enumeration date
08/16/2017
Last updated
07/21/2022
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