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Organization

ST. CHARLES HEALTH SYSTEM, INC.

Active
Other names
St. Charles Behavioral Health
Organization subpart
No

Provider details

NPI number
Authorized official
MATTHEW SWAFFORD (CHIEF FINANCIAL OFFICER)
(541) 382-4321
Entity
Organization

Contact information

Practice address
2542 NE COURTNEY DR, BEND, OR 97701-7685
(541) 706-2768
(541) 706-4760
Mailing address
PO BOX 6095, BEND, OR 97708-6095
(541) 382-4321
(541) 706-4760

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
OR
103G00000X
Clinical Neuropsychologist
OR
103TC0700X
Clinical Psychologist
OR
1041C0700X
Clinical Social Worker
Primary
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500400455
OR
Enumeration date
07/28/2006
Last updated
05/05/2023
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