Organization
HEALTHWISE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SANDRA JANE PETTY R.N. (PROGRAM DIRECTOR)
(541) 389-7211
Entity
Organization
Contact information
Practice address
2753 NW LOLO DR, SUITE 200, BEND, OR 97701-7288
(541) 389-7211
(541) 749-4249
Mailing address
PO BOX 8525, BEND, OR 97708-8525
(541) 389-7211
(541) 749-4249
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/21/2007
Last updated
01/17/2011
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