IndividualActive
Tracy Anderman
NPI 1184485922 · Emotionally Disturbed Childrens' Residential Treatment Facility · Bend, OR
Provider details
- NPI number
- 1184485922
- Entity type
- Individual
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Residential Treatment Facilities
Practice location
61850 Dobbin Rd
Bend, OR 97702-9536
Phone: (541) 389-1985
Approximate (ZIP-level) locationGet directions
Mailing address
974 Nw Yosemite Dr
Bend, OR 97703-6722
Registry dates
- Enumerated
- 2024-01-18
- Last updated
- 2024-01-18
- Certified
- 2024-01-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.