MEDICARE: HEALING REINS EQUINE ASSISTED SERVICES INC

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	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)
2	225X00000X	Occupational Therapist

General Provider Information

NPI Number	:	1316536394
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALING REINS EQUINE ASSISTED SERVICES INC

Provider Business Mailing Address
First Line	:	65325 CLINE FALLS RD
Second Line	:
City	:	BEND
State	:	OR
Zip	:	97703-8166
Country	:	US
Telephone Number	:	541-382-9410
Fax Number	:	541-508-5553

Provider Business Practice Location Address
First Line	:	65325 CLINE FALLS RD
Second Line	:
City	:	BEND
State	:	OR
Zip	:	97703-8166
Country	:	US
Telephone Number	:	541-382-9410
Fax Number	:	541-508-5553

Authorized Official
Title or Position	:	PROGRAM & CLINIC MANAGER
Name	:	NICOLE PARIS-JOHNSON
Credential	:
Telephone Number	:	541-382-9410

Provider Enumeration Date	:	01/13/2021
Last Update Date	:	02/03/2026

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