MEDICARE: DR. ROBERT FRANK BURCH PH.D

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	1710	OR

General Provider Information

NPI Number	:	1174649339
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT FRANK BURCH PH.D

Provider Business Mailing Address
First Line	:	25 NW PARK PL
Second Line	:
City	:	BEND
State	:	OR
Zip	:	97703-2954
Country	:	US
Telephone Number	:	541-388-9271
Fax Number	:

Provider Business Practice Location Address
First Line	:	1011 SW EMKAY DR STE 101
Second Line	:
City	:	BEND
State	:	OR
Zip	:	97702-3162
Country	:	US
Telephone Number	:	541-388-9271
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/21/2007
Last Update Date	:	05/10/2018

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Directions to “ DR. ROBERT FRANK BURCH PH.D” Practice Location

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