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NPI Code Detail

MEDICARE: MS. REBECCA A TIMMS LCSW

MEDICARE: MS. REBECCA A TIMMS LCSW
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
11041C0700XClinical Social WorkerL3361OR

General Provider Information

NPI Number : 1548481732
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. REBECCA A TIMMS LCSW
Provider Business Mailing Address
First Line : 21032 BAYOU DR
Second Line :
City : BEND
State : OR
Zip : 97702-2438
Country : US
Telephone Number : 541-410-5021
Fax Number :
Provider Business Practice Location Address
First Line : 220 NW OREGON AVE STE 202
Second Line :
City : BEND
State : OR
Zip : 97703-2745
Country : US
Telephone Number : 541-410-5021
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/02/2007
Last Update Date : 06/06/2019

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Directions to “ MS. REBECCA A TIMMS LCSW” Practice Location

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