Healthcare Provider Details

I. General information

NPI: 1720918303
Provider Name (Legal Business Name): SNOW PINE COUNSELING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2026
Last Update Date: 05/23/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

231 SW SCALEHOUSE LOOP STE 202
BEND OR
97702-1277
US

IV. Provider business mailing address

682 NE VAIL LN
BEND OR
97701-3933
US

V. Phone/Fax

Practice location:
  • Phone: 425-941-3359
  • Fax: 971-368-6414
Mailing address:
  • Phone: 425-941-3359
  • Fax: 971-368-6414

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: YVONNE MAUREEN CLAYTON
Title or Position: PRESIDENT
Credential: LPC
Phone: 425-941-3359