Whalio Doctors

NPI 1073052320

Joella Long

Practitioner Marriage & Family Therapist Bend, OR

Practice location

Address
780 NW York Dr Suite 204, Bend, OR 97703-1053
Phone
(541) 639-2986
Mailing address
PO Box 938, Bend, OR 97709-0938

Registered specialties

Marriage & Family Therapist Primary
Behavioral Health & Social Service Providers Taxonomy 106H00000X Licence T1219 (OR)

Registry record

NPI
1073052320
Entity type
Individual
Sex (as registered)
Female
NPI issued
20 Feb 2017
Record last updated
20 Feb 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.