Individual
JAIME BUNGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
685 SE 3RD ST, BEND, OR 97702-1754
(541) 408-1029
Mailing address
685 SE 3RD ST, BEND, OR 97702-1754
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
T-24-3930
OR
101YM0800X
Mental Health Counselor
25-QMHA-R-6536
OR
172V00000X
Community Health Worker
113065
OR
Other
Enumeration date
08/22/2024
Last updated
04/21/2025
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