Healthcare Provider Details

I. General information

NPI: 1356556872
Provider Name (Legal Business Name): CHRISTINE HOWARD GIEBEN PSY.D
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/10/2007
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

255 SW BLUFF DR STE 220
BEND OR
97702-3999
US

IV. Provider business mailing address

255 SW BLUFF DR STE 220
BEND OR
97702-3999
US

V. Phone/Fax

Practice location:
  • Phone: 802-242-0789
  • Fax:
Mailing address:
  • Phone: 802-242-0789
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number1562
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: