Healthcare Provider Details

I. General information

NPI: 1124178868
Provider Name (Legal Business Name): SYMMETRY CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/12/2007
Last Update Date: 08/10/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

348 W. ADAMS
BURNS OR
97720
US

IV. Provider business mailing address

348 W. ADAMS
BURNS OR
97720
US

V. Phone/Fax

Practice location:
  • Phone: 541-573-8376
  • Fax: 541-573-8378
Mailing address:
  • Phone: 541-573-8376
  • Fax: 541-573-8378

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2084A0401X
TaxonomyAddiction Medicine (Psychiatry & Neurology) Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code2084P0802X
TaxonomyAddiction Psychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. CHRIS SIEGNER
Title or Position: DIRECTOR/CHIEF EXECUTIVE OFFICER
Credential: LCSW
Phone: 541-573-8376