AUTUMN THERAPEUTICS NPI 1811680838

NPI Information

  • NPI: 1811680838
  • Provider Name: AUTUMN THERAPEUTICS
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Address: 131 NW HAWTHORNE AVE STE 103
    BEND, OR
    ZIP 97703
  • Phone: (541) 697-4863

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NPI Details

AUTUMN THERAPEUTICS is a mental health counselor in Bend, OR. AUTUMN THERAPEUTICS NPI is 1811680838. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

131 NW HAWTHORNE AVE STE 103
BEND, OR
ZIP 97703-957
Phone: (541) 697-4863
Fax: (541) 229-1249

The provider's authorized official is Melinda Elaine Johnson .
The authorized official title is Owner and has the following contact phone number (541) 697-4863.

The enumeration date for this NPI number is 5/26/2023 and was last updated on 8/30/2023.

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
1101YM0800XCounselorMental HealthYes

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: 3/30/2025

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