Healthcare Provider Details

I. General information

NPI: 1245154095
Provider Name (Legal Business Name): NINA CLAIRE HERSHER CSWA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/05/2026
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2146 NE 4TH ST STE 160
BEND OR
97701-3618
US

IV. Provider business mailing address

2146 NE 4TH ST STE 160
BEND OR
97701-3618
US

V. Phone/Fax

Practice location:
  • Phone: 541-306-4471
  • Fax:
Mailing address:
  • Phone: 541-306-4471
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberA18446
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: