Positive Potential is a Clinical in Bend, Oregon. Positive Potential practices all healthcare services and medical treatments related to Clinical. The NPI Number for Positive Potential is 1356374706. The last update date is 2020-08-22.
Positive Potential's current location address is 336 Ne Norton Ave, Bend, Oregon. You can contact this provider via phone number 5413123090 and fax number 5413178488. The mailing address for Positive Potential is 336 Ne Norton Ave, Bend, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Positive Potential |
|---|---|
| Address | 336 Ne Norton Ave, Bend, Oregon |
| Phone Number | 5413123090 |
| Fax Number | 5413178488 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Boone Marie Judith |
| Credentials | LCSW |
| Telephone Number | 5413123090 |
NPI Number Detail
| NPI Number | 1356374706 |
|---|---|
| Provider Enumeration Date | 2006-07-09 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 336 Ne Norton Ave |
|---|---|
| City | Bend |
| State | Oregon (OR) |
| Post Code | 977014350 |
| Phone Number | 5413123090 |
| Fax Number | 5413178488 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | L3116 |
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What is the Positive Potential's 1356374706?
The Positive Potential's NPI (National Provider Identifier) Number is 1356374706. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Positive Potential located?
The Positive Potential is located at 336 Ne Norton Ave, Bend, OR 977014350.
What is Positive Potential's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Positive Potential is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.
On what date did the Positive Potential receive its 1356374706 assignment from the Centers for Medicare & Medicaid Services?
The Positive Potential was assigned its 1356374706 by the Centers for Medicare & Medicaid Services on 2006-07-09.
When was the information regarding Positive Potential most recently updated?
The details pertaining to the Positive Potential, including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.