POLLY REISIG MSW QMHP NPI 1649916834

NPI Information

NPI: 1649916834
Provider Name: POLLY REISIG, MSW, QMHP
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
20370 POE SHOLES DR
BEND, OR
ZIP 97703
Phone: (541) 318-1377
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Polly Reisig, MSW, QMHP is a mental health counselor in Bend, OR. Polly Reisig, MSW, QMHP NPI is 1649916834. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

20370 POE SHOLES DR
BEND, OR
ZIP 97703-938
Phone: (541) 318-1377

The enumeration date for this NPI number is 5/10/2022 and was last updated on 5/10/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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