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Organization

SWICK CLINICAL SERVICES INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. PETER CHARLES SWICK LCSW (THERAPIST/OWNER)
(458) 600-6101
Entity
Organization

Contact information

Practice address
5 NW FRANKLIN AVE, BEND, OR 97703-2905
(541) 241-6123
Mailing address
PO BOX 7964, BEND, OR 97708-7964
(541) 241-6123

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
01
19-10-29
MHACBO CADC
OR
05
1982943247
OR
01
L8208
OBLSW LICENSURE
OR
Enumeration date
04/06/2021
Last updated
09/10/2021
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