Healthcare Provider Details

I. General information

NPI: 1942146642
Provider Name (Legal Business Name): YOU'RE NOT ALONE PSYCHIATRY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/25/2026
Last Update Date: 04/25/2026
Certification Date: 04/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

108 NW PHILS LOOP
BEND OR
97703-5486
US

IV. Provider business mailing address

108 NW PHILS LOOP
BEND OR
97703-5486
US

V. Phone/Fax

Practice location:
  • Phone: 540-449-3366
  • Fax:
Mailing address:
  • Phone: 540-449-3366
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: LISA E HAKE
Title or Position: PSYCHIATRIST
Credential: MD
Phone: 540-449-3366