Individual
GRACE MALKUSAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, MS
Contact information
Practice address
1340 NW WALL ST, BEND, OR 97703-1985
(541) 322-7500
(541) 322-7565
Mailing address
2577 NE COURTNEY DR, BEND, OR 97701-7752
(541) 322-7500
(541) 322-7565
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
Primary
L18283
OR
Other
Enumeration date
02/07/2023
Last updated
07/14/2026
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