Active NPIIndividual providerSole proprietor

Amy K Bordelon, LMFT

Marriage & Family Therapist in Bend, Oregon

NPI Number1740642412
Practice location
371 SW Upper Terrace Dr Ste 3, Bend, OR 97702-1560
Fax
—
Last updated
February 23, 2020

Amy K Bordelon, LMFT is a Marriage & Family Therapist based in Bend, OR. Amy K Bordelon, LMFT holds the professional credentials of LMFT. The NPI number for Amy K Bordelon, LMFT is 1740642412 and holds license No. T1136 (OR). The current practice location address is 371 SW Upper Terrace Dr Ste 3, Bend, OR 97702-1560 and the office can be reached by phone at 303-880-0287. The NPI was assigned on March 22, 2016 and the record was last updated in NPPES on February 23, 2020.

●Provider Profile Details

NPI Number
1740642412
Provider Name
Amy Kathryn Bordelon
Credential
LMFT
Entity Type
Individual (Type 1 NPI)
Gender
Female
Primary Taxonomy
Marriage & Family Therapist · 106H00000X
Sole Proprietor
Yes
Enumeration Date
March 22, 2016
Last Update Date
February 23, 2020
Certification Date
February 23, 2020
NPI Status
Active

◉Business Practice Location Address

Address
371 SW Upper Terrace Dr Ste 3
Bend, OR 97702-1560
City
Bend
State
Oregon
ZIP
97702-1560
Country
US
Phone Number
303-880-0287

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✉Business Mailing Address

Address
371 SW Upper Terrace Dr Ste 3
Bend, OR 97702-1560
City
Bend
State
OR
ZIP
97702-1560
Phone Number
303-880-0287

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Marriage & Family Therapist106H00000XNo——
Marriage & Family Therapist106H00000XYesT1136OR

#Other Provider Identifiers

No legacy or other 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 Amy K Bordelon, LMFT?

The NPI number of Amy K Bordelon, LMFT is 1740642412. It was assigned on March 22, 2016 and is currently active in the NPPES registry.

What is the specialty of Amy K Bordelon, LMFT?

Amy K Bordelon, LMFT is registered under the primary taxonomy Marriage & Family Therapist (code 106H00000X) and holds license No. T1136 (OR).

Where does Amy K Bordelon, LMFT practice?

The practice location is 371 SW Upper Terrace Dr Ste 3, Bend, OR 97702-1560. The office can be reached at 303-880-0287 (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 1740642412 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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