Randy Wild is a Mental Health in Bend, Oregon. Randy Wild practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Randy Wild is 1295939080. The last update date is 2013-03-19.
Randy Wild's current location address is 851 Ne 8th St, Bend, Oregon. You can contact this provider via phone number 5415507940 and fax number 5415507941. The mailing address for Randy Wild is 851 Ne 8th St, Bend, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Randy Wild |
|---|---|
| Address | 851 Ne 8th St, Bend, Oregon |
| Phone Number | 5415507940 |
| Fax Number | 5415507941 |
| Sole Proprietor | N |
| Credentials | LPC |
NPI Number Detail
| NPI Number | 1295939080 |
|---|---|
| Provider Enumeration Date | 2007-06-13 |
| Last Updated Date | 2013-03-19 |
Provider Mailing Address Detail
| Address | 851 Ne 8th St |
|---|---|
| City | Bend |
| State | Oregon (OR) |
| Post Code | 977014839 |
| Phone Number | 5415507940 |
| Fax Number | 5415507941 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | C1740 |
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Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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Post Comment/ Review Below
What is the Randy Wild's 1295939080?
The Randy Wild's NPI (National Provider Identifier) Number is 1295939080. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Randy Wild is geographically located?
The Randy Wild is physically situated at the following location: 851 Ne 8Th St, Bend, OR, 977014839.
What is Randy Wild's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Randy Wild is Mental Health, and the taxonomy code that classifies this field of practice is 101Ym0800X.
When did Randy Wild receive its 1295939080 assignment?
The Randy Wild was assigned its 1295939080 on 2007-06-13, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Randy Wild last refreshed?
The information related to the Randy Wild, including its address, specialty, and other relevant details, was last updated on 2013-03-19.
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