Organization
FIRST CHOICE PSYCHIATRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN MATTHEW MCCULLY PMHNP (CO-FOUNDER)
(541) 419-4054
Entity
Organization
Contact information
Practice address
61822 TEN BARR RANCH RD, BEND, OR 97701-9314
(541) 419-4054
Mailing address
61822 TEN BARR RANCH RD, BEND, OR 97701-9314
(541) 419-4054
Taxonomy
Speciality
Code
Description
License number
State
364SP0810X
Child & Family Psychiatric/Mental Health Clinical Nurse Specialist
Primary
—
—
Other
Enumeration date
04/17/2024
Last updated
04/17/2024
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