Individual
SARAH MARIE GRIMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
155 NE REVERE AVE, BEND, OR 97701-4147
(541) 617-4544
Mailing address
920 SW EMKAY DR STE 104, BEND, OR 97702-1043
(541) 383-0844
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
T-20-491
OR
Other
Enumeration date
01/12/2021
Last updated
12/12/2022
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