| Path To Awareness Pc | |
|
2239 Ne Doctors Dr Ste 110 Bend OR 97701-7185 | |
| (541) 323-8705 | |
| (541) 323-8708 |
| Full Name | Path To Awareness Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2239 Ne Doctors Dr Ste 110, Bend, Oregon |
| Authorized Official Name and Position | Faith Brown (PRACTICE MANAGER) |
| Authorized Official Contact | 5413238705 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Path To Awareness Pc 2239 Ne Doctors Dr Ste 110 Bend OR 97701-7185 Ph: (541) 323-8705 | Path To Awareness Pc 2239 Ne Doctors Dr Ste 110 Bend OR 97701-7185 Ph: (541) 323-8705 |
| NPI Number | 1811484603 |
|---|---|
| Provider Enumeration Date | 04/17/2018 |
| Last Update Date | 04/27/2023 |
| Certification Date | 04/27/2023 |
| Medicare PECOS PAC ID | 4587094057 |
|---|---|
| Medicare Enrollment ID | O20200423003106 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811484603 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | MD28568 (Oregon) | Primary |
| Provider Name | Chad T Brown |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881729945 PECOS PAC ID: 4587722574 Enrollment ID: I20081020000537 |
| Provider Name | Leigh Anne Bressler |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487910279 PECOS PAC ID: 2668627159 Enrollment ID: I20160816002409 |
| Provider Name | Juliana Mcclintock Ayres |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003362617 PECOS PAC ID: 2365872843 Enrollment ID: I20200423003357 |
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