Healthcare Provider Details

I. General information

NPI: 1396682571
Provider Name (Legal Business Name): BEND THOUGHTS AND THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1005 SW DISK DR STE 104
BEND OR
97702-3385
US

IV. Provider business mailing address

1005 SW DISK DR STE 104
BEND OR
97702-3385
US

V. Phone/Fax

Practice location:
  • Phone: 503-812-7040
  • Fax:
Mailing address:
  • Phone: 503-812-7040
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name: ALLISON ROSENTHAL
Title or Position: OWNER
Credential: LPC
Phone: 503-812-7040