| Robert F Burch Phd Pc | |
|
390 Sw Columbia St Ste 210 Bend OR 97702-3227 | |
| (541) 388-9271 | |
| (541) 388-0479 |
| Full Name | Robert F Burch Phd Pc |
|---|---|
| Speciality | Psychologist |
| Location | 390 Sw Columbia St Ste 210, Bend, Oregon |
| Authorized Official Name and Position | Robert F Burch Phd Pc (OWNER) |
| Authorized Official Contact | 5413889271 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert F Burch Phd Pc Po Box 13101 Portland OR 97213-0101 Ph: (503) 528-8404 | Robert F Burch Phd Pc 390 Sw Columbia St Ste 210 Bend OR 97702-3227 Ph: (541) 388-9271 |
| NPI Number | 1083859235 |
|---|---|
| Provider Enumeration Date | 12/02/2008 |
| Last Update Date | 04/02/2009 |
| Medicare PECOS PAC ID | 0941357891 |
|---|---|
| Medicare Enrollment ID | O20090409000406 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083859235 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 1710 (Oregon) | Primary |
| Provider Name | Robert F Burch |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1174649339 PECOS PAC ID: 0244320075 Enrollment ID: I20080206000299 |
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