Healthcare Provider Details

I. General information

NPI: 1285552232
Provider Name (Legal Business Name): DARLENE BECKER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/08/2026
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19570 AMBER MEADOW DR STE 110
BEND OR
97702-3530
US

IV. Provider business mailing address

2007 NW 4TH ST
BEND OR
97703-1263
US

V. Phone/Fax

Practice location:
  • Phone: 541-236-5990
  • Fax:
Mailing address:
  • Phone: 503-953-2175
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code221700000X
TaxonomyArt Therapist
License NumberC-10206267
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: