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Organization

ALICIA VIANI THERAPY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ALICIA VIANI (PRESIDENT)
(541) 301-6146
Entity
Organization

Contact information

Practice address
400 SW BLUFF DR STE 200, BEND, OR 97702-1697
(541) 301-6146
Mailing address
400 SW BLUFF DR STE 200, BEND, OR 97702-1697
(541) 301-6146

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1609016690
NPI
OR
05
500638613
OR
Enumeration date
02/02/2021
Last updated
02/02/2021
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