Organization
EMBODIED PERFORMANCE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMY O'HANA PHD, LPC, ACS (OWNER/CLINICAL DIRECTOR)
(541) 515-5213
Entity
Organization
Contact information
Practice address
2542 NE COURTNEY DR STE 200F, BEND, OR 97701-7684
(541) 515-5213
Mailing address
61141 S HWY 97, PMB 162, BEND, OR 97702-2523
(541) 515-5213
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
02/12/2024
Last updated
01/30/2026
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