Organization
BEND THERAPIST, LLC
Active
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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