Organization
EVOKE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN HUFFING P.H.D (CLINICAL DIRECTOR)
(541) 382-1620
Entity
Organization
Contact information
Practice address
20332 EMPIRE AVE, SUITE F-7, BEND, OR 97703-5712
(541) 382-1620
(541) 382-1817
Mailing address
20332 EMPIRE AVE, SUITE F-7, BEND, OR 97703-5712
(541) 382-1620
(541) 382-1817
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
C4041
OR
Other
Enumeration date
05/17/2016
Last updated
05/17/2016
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