Individual
TRACY ANDERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
61850 DOBBIN RD, BEND, OR 97702-9536
(541) 389-1985
Mailing address
974 NW YOSEMITE DR, BEND, OR 97703-6722
(541) 610-8410
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/18/2024
Last updated
01/18/2024
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