Organization
MOUNTAIN RIVER COUNSELING AND CONSULTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD EWE PHD (OWNER)
(425) 654-0424
Entity
Organization
Contact information
Practice address
20273 REED LN, BEND, OR 97702
(425) 654-0424
Mailing address
61141 S HWY 97 # 226, BEND, OR 97702-2523
(425) 654-0424
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500810109
—
OR
Enumeration date
02/03/2023
Last updated
12/05/2024
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