Healthcare Provider Details

I. General information

NPI: 1437639846
Provider Name (Legal Business Name): MEGAN KATHLEEN LUX
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/15/2018
Last Update Date: 09/16/2025
Certification Date: 09/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

373 NE GREENWOOD AVE
BEND OR
97701-4605
US

IV. Provider business mailing address

3215 NW 15TH ST
REDMOND OR
97756-2165
US

V. Phone/Fax

Practice location:
  • Phone: 541-343-1728
  • Fax:
Mailing address:
  • Phone: 503-857-7188
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: