- Practice location
- 131 NW Hawthorne Ave Ste 103, Bend, OR 97703-2957
- Phone
- 541-697-4863
- Fax
- 541-229-1249
- Last updated
- August 30, 2023
Autumn Therapeutics is a healthcare organization based in Bend, OR. Autumn Therapeutics practices in Bend, OR. The NPI Number for Autumn Therapeutics is 1811680838. The current practice location address for Autumn Therapeutics is 131 NW Hawthorne Ave Ste 103, Bend, OR 97703-2957 and can be reached out via phone at 541-697-4863 and via fax at 541-229-1249.
Provider Profile Details
- NPI Number
- 1811680838
- Provider Name
- Autumn Therapeutics
- Provider Entity Type
- Organization
- Address
- 131 NW Hawthorne Ave Ste 103, Bend, OR 97703-2957
- Phone Number
- 541-697-4863
- Fax Number
- 541-229-1249
- Primary Taxonomy
- Counselor, Mental Health · 101YM0800X
- Organization Subpart
- No
- Authorized Official
- Melinda Elaine Johnson, LMFT · Owner · 541-697-4863
- Provider Enumeration Date
- May 26, 2023
- Last Update Date
- August 30, 2023
- Certification Date
- August 30, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 131 NW Hawthorne Ave Ste 103
Bend, OR 97703-2957 - City
- Bend
- State
- Oregon
- Zip
- 97703-2957
- Phone Number
- 541-697-4863
- Fax Number
- 541-229-1249
Provider Business Mailing Address Details
- Address
- 131 NW Hawthorne Ave Ste 103
Bend, OR 97703-2957 - City
- Bend
- State
- OR
- Zip
- 97703-2957
- Phone Number
- 541-697-4863
- Fax Number
- 541-229-1249
License Information
- Taxonomy
- Counselor, Mental Health · 101YM0800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Autumn Therapeutics?
The NPI number of Autumn Therapeutics is 1811680838. It was assigned on May 26, 2023 and is currently active in the NPPES registry.
What is the specialty of Autumn Therapeutics?
Autumn Therapeutics is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X).
Where does Autumn Therapeutics practice?
The practice location is 131 NW Hawthorne Ave Ste 103, Bend, OR 97703-2957. The office can be reached at 541-697-4863 (phone) or 541-229-1249 (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 1811680838 directly on the NPPES registry website.