Active NPIOrganization

Central Oregon Cognitive Assessment & Rehabilitation

Psychologist, Clinical in Bend, Oregon

NPI Number1619669017
Practice location
19855 4TH St Ste 106, Bend, OR 97703-7814
Fax
541-610-1550
Last updated
May 23, 2023

Central Oregon Cognitive Assessment & Rehabilitation is a healthcare organization based in Bend, OR. Central Oregon Cognitive Assessment & Rehabilitation practices in Bend, OR. The NPI Number for Central Oregon Cognitive Assessment & Rehabilitation is 1619669017. The current practice location address for Central Oregon Cognitive Assessment & Rehabilitation is 19855 4TH St Ste 106, Bend, OR 97703-7814 and can be reached out via phone at 541-316-0648 and via fax at 541-610-1550.

Provider Profile Details

NPI Number
1619669017
Provider Name
Central Oregon Cognitive Assessment & Rehabilitation
Provider Entity Type
Organization
Address
19855 4TH St Ste 106, Bend, OR 97703-7814
Phone Number
541-316-0648
Fax Number
541-610-1550
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Organization Subpart
No
Authorized Official
Dr. Theresa Lee Demadura, PHD · Owner · 503-314-6942
Other Names
Cocar (Other Name)
Provider Enumeration Date
May 23, 2023
Last Update Date
May 23, 2023
Certification Date
May 23, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
19855 4TH St Ste 106
Bend, OR 97703-7814
City
Bend
State
Oregon
Zip
97703-7814
Phone Number
541-316-0648
Fax Number
541-610-1550
Bend, OR 97703Get directions →

Provider Business Mailing Address Details

Address
8778 Coopers Hawk Dr
Redmond, OR 97756-5012
City
Redmond
State
OR
Zip
97756-5012
Phone Number
503-314-6942
Fax Number
541-610-1550

License Information

Taxonomy
Psychologist, Clinical · 103TC0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Central Oregon Cognitive Assessment & Rehabilitation?

The NPI number of Central Oregon Cognitive Assessment & Rehabilitation is 1619669017. It was assigned on May 23, 2023 and is currently active in the NPPES registry.

What is the specialty of Central Oregon Cognitive Assessment & Rehabilitation?

Central Oregon Cognitive Assessment & Rehabilitation is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X).

Where does Central Oregon Cognitive Assessment & Rehabilitation practice?

The practice location is 19855 4TH St Ste 106, Bend, OR 97703-7814. The office can be reached at 541-316-0648 (phone) or 541-610-1550 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1619669017 directly on the NPPES registry website.

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