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Organization

MIDOREGON MENTAL HEALTH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LINDSAY D SHAVER M. ADMIN. (OPERATIONS DIRECTOR)
(541) 460-5194
Entity
Organization

Contact information

Practice address
131 NW HAWTHORNE AVE STE 207, BEND, OR 97703-2958
(541) 460-5194
(541) 647-1331
Mailing address
131 NW HAWTHORNE AVE STE 207, BEND, OR 97703-2958
(541) 460-5194
(541) 647-1331

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary

Other

Enumeration date
03/17/2020
Last updated
08/05/2020
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