Individual
RYAN HUTCHINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
23 NW GREENWOOD AVE, BEND, OR 97703-2078
(541) 383-4293
Mailing address
62738 MT HOOD DR, BEND, OR 97703-5787
(541) 598-4837
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15-02-05
OR
101YP2500X
Professional Counselor
C4282
OR
2084P0800X
Psychiatry Physician
C4282
OR
Other
Enumeration date
12/09/2015
Last updated
10/31/2017
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