| Mr Dustyn Ryan Putzier, LMSW | |
|
51781 Huntington Rd, La Pine, OR 97739-1118 | |
| (541) 907-7040 | |
| (541) 907-7059 |
| Full Name | Mr Dustyn Ryan Putzier |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 51781 Huntington Rd, La Pine, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003470121 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LMSW-35806 (Idaho) | Primary |
| Entity Name | St Charles Health System Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982621447 PECOS PAC ID: 3870402852 Enrollment ID: O20040112000045 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Dustyn Ryan Putzier, LMSW 11613 Cabin Creek St, Caldwell, ID 83605-6793 Ph: (208) 830-4503 | Mr Dustyn Ryan Putzier, LMSW 51781 Huntington Rd, La Pine, OR 97739-1118 Ph: (541) 907-7040 |
Karissa L Viebeck, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 51340 Highway 97, La Pine, OR 97739 Phone: 541-322-7500 Fax: 541-322-7565 | |
Claudine M Walker, LCSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 51340 Highway 97, La Pine, OR 97739 Phone: 541-322-7500 Fax: 541-322-7565 | |
Cynthia Diane Hanley, QMHP Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 51600 Huntington Rd Ste 101, La Pine, OR 97739 Phone: 541-536-3435 Fax: 541-536-8047 |