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Individual

ROBERTA LESLI MOWDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP-BC

Contact information

Practice address
2577 NE COURTNEY DR, BEND, OR 97701-7752
(541) 322-7678
(541) 322-7565
Mailing address
2577 NE COURTNEY DR, BEND, OR 97701-7752
(541) 322-7678
(541) 322-7565

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
201908302NP-PP
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
R0063522
OK

Other

Enumeration date
11/10/2015
Last updated
12/12/2019
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