Individual
LINDA SUZANNE LUTHER-STARBIRD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
371 SW UPPER TERRACE DR STE 3, BEND, OR 97702
(503) 224-9517
(844) 274-0521
Mailing address
PO BOX 1071, BEND, OR 97709-1071
(503) 224-9517
(844) 274-0521
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2778
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005107363
AETNA
CO
01
—
035504
VALUE OPTIONS - CHN
CO
01
—
049696
HBS
CO
05
—
07014285
—
CO
05
—
42105722
—
CO
01
—
9129
BCBS
CO
Enumeration date
01/16/2006
Last updated
06/07/2018
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