Organization
FIRN LINE WELLNESS LLC
Active
Other names
Firn Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
MARY FARNSWORTH PMHNP, CNM (OWNER)
(541) 305-1321
Entity
Organization
Contact information
Practice address
431 NW FRANKLIN AVE STE 200, BEND, OR 97703-2827
(541) 305-7645
(541) 229-1321
Mailing address
431 NW FRANKLIN AVE STE 200, BEND, OR 97703-2827
(541) 305-7645
(541) 229-1321
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500638416
—
OR
Enumeration date
04/15/2025
Last updated
05/12/2025
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