Organization
BEND IOP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXA WARREN (UR/BILLING MANAGER)
(310) 975-1441
Entity
Organization
Contact information
Practice address
20354 EMPIRE AVE, BEND, OR 97703-5710
(310) 975-1441
(310) 975-1461
Mailing address
20354 EMPIRE AVE, BEND, OR 97703-5710
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
11/03/2016
Last updated
11/03/2016
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