Individual
GENEVIEVE BAINBRIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
190 NW 4TH ST, PRINEVILLE, OR 97754-1820
(541) 903-5337
Mailing address
190 NW 4TH ST, PRINEVILLE, OR 97754-1820
(360) 903-5337
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L10589
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L10589
OREGON BOARD OF LICENSED SOCIAL WORKERS
OR
Enumeration date
05/03/2021
Last updated
02/09/2022
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