Organization
ROBERT F BURCH PHD PC
Active
Organization
ROBERT F BURCH PHD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT F BURCH PHD PC PHD (OWNER)
(541) 388-9271
Entity
Organization
Contact information
Practice address
390 SW COLUMBIA ST STE 210, BEND, OR 97702-3227
(541) 388-9271
(541) 388-0479
Mailing address
PO BOX 13101, PORTLAND, OR 97213-0101
(503) 528-8404
(503) 528-8405
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1710
OR
Other
Enumeration date
12/02/2008
Last updated
04/02/2009
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