Healthcare Provider Details

I. General information

NPI: 1033513825
Provider Name (Legal Business Name): ROSEMARY ANNE PATTERSON LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/22/2014
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20608 HONEYSUCKLE LN
BEND OR
97702-2780
US

IV. Provider business mailing address

20608 HONEYSUCKLE LN
BEND OR
97702-2780
US

V. Phone/Fax

Practice location:
  • Phone: 541-241-6069
  • Fax:
Mailing address:
  • Phone: 541-241-6096
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberC6232
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: