NPI 1184485922

Tracy Anderman

Practitioner Emotionally Disturbed Childrens' Residential Treatment Facility Bend, OR

Practice location

Address: 61850 Dobbin Rd, Bend, OR 97702-9536
Phone: (541) 389-1985
Mailing address: 974 NW Yosemite Dr, Bend, OR 97703-6722

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X

Other Residential Treatment Facility, Emotionally Disturbed Children providers in Oregon →

Registry record

NPI: 1184485922
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Jan 2024
Record last updated: 18 Jan 2024

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.