| Bend Embodied | |
|
825 Sw Theater Dr Bend OR 97702-3509 | |
| (720) 442-4114 | |
| Not Available |
| Full Name | Bend Embodied |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 825 Sw Theater Dr, Bend, Oregon |
| Authorized Official Name and Position | Autumn Stacey Marler (OWNER) |
| Authorized Official Contact | 7204424114 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bend Embodied 825 Sw Theater Dr Bend OR 97702-3509 Ph: (720) 442-4114 | Bend Embodied 825 Sw Theater Dr Bend OR 97702-3509 Ph: (720) 442-4114 |
| NPI Number | 1316631138 |
|---|---|
| Provider Enumeration Date | 06/05/2023 |
| Last Update Date | 06/05/2023 |
| Certification Date | 06/05/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316631138 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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