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Organization

BEND THERAPIST, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LISA ROSEN LCSW (PROVIDER)
(541) 410-5603
Entity
Organization

Contact information

Practice address
2140 NW CLEARWATER DR, BEND, OR 97701-7013
(541) 410-5603
Mailing address
745 NW MT WASHINGTON DR, SUITE 301, BEND, OR 97701-1574
(541) 410-5603

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
L5470
OR

Other

Enumeration date
05/27/2015
Last updated
05/27/2015
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