Active NPIIndividual provider

Tara Breitenbucher

Counselor, Mental Health in Bend, Oregon

NPI Number1699078550
Practice location
2545 NE Community Ln, Bend, OR 97701-6628
Fax
—
Last updated
April 22, 2024

Tara Breitenbucher is a Counselor, Mental Health based in Bend, OR. Tara Breitenbucher practices in Bend, OR. The NPI Number for Tara Breitenbucher is 1699078550 and holds a License No. C4461 (OR). The current practice location address for Tara Breitenbucher is 2545 NE Community Ln, Bend, OR 97701-6628 and can be reached out via phone at 541-905-0500.

Provider Profile Details

NPI Number
1699078550
Provider Name
Tara Breitenbucher
Provider Entity Type
Individual
Gender
Female
Address
2545 NE Community Ln, Bend, OR 97701-6628
Phone Number
541-905-0500
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
No
Provider Enumeration Date
December 15, 2010
Last Update Date
April 22, 2024
Certification Date
August 5, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
2545 NE Community Ln
Bend, OR 97701-6628
City
Bend
State
Oregon
Zip
97701-6628
Phone Number
541-905-0500
Bend, OR 97701Get directions →

Provider Business Mailing Address Details

Address
2545 NE Community Ln
Bend, OR 97701-6628
City
Bend
State
OR
Zip
97701-6628
Phone Number
541-905-0500

License Information

License Number
C4461
License State
OR
Taxonomy
Counselor, Mental Health · 101YM0800X · 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 Tara Breitenbucher?

The NPI number of Tara Breitenbucher is 1699078550. It was assigned on December 15, 2010 and is currently active in the NPPES registry.

What is the specialty of Tara Breitenbucher?

Tara Breitenbucher is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in OR under license number C4461.

Where does Tara Breitenbucher practice?

The practice location is 2545 NE Community Ln, Bend, OR 97701-6628. The office can be reached at 541-905-0500 (phone).

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 1699078550 directly on the NPPES registry website.

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