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Organization
ST. CHARLES HEALTH SYSTEM, INC.
Active
Organization
ST. CHARLES HEALTH SYSTEM, INC.
Active
Other names
St. Charles Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW SWAFFORD (CHIEF FINANCIAL OFFICER)
(541) 382-4321
Entity
Organization
Contact information
Practice address
2542 NE COURTNEY DR, BEND, OR 97701-7685
(541) 706-2768
(541) 706-4760
Mailing address
PO BOX 6095, BEND, OR 97708-6095
(541) 382-4321
(541) 706-4760
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
OR
103G00000X
Clinical Neuropsychologist
—
OR
103TC0700X
Clinical Psychologist
—
OR
1041C0700X
Clinical Social Worker
Primary
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500400455
—
OR
Enumeration date
07/28/2006
Last updated
05/05/2023
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