OrganizationActive
Holistic Speech & Language, LLC
NPI 1336632348 · Hearing and Speech Clinic/Center · Bend, OR
Provider details
- NPI number
- 1336632348
- Entity type
- Organization
- Primary specialty
- Hearing and Speech Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Tiffany (ty) Lockhart, Owner/Slp(206) 409-9964
- License
- LL60023213 (WA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
635 Sw Pelton Pl
Bend, OR 97702-1207
Phone: (206) 409-9964
Fax: (206) 905-0104
Approximate (ZIP-level) locationGet directions
Mailing address
635 Sw Pelton Pl
Bend, OR 97702-1207
Registry dates
- Enumerated
- 2018-06-13
- Last updated
- 2023-11-17
- Certified
- 2023-11-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.