Healthcare Provider Details

I. General information

NPI: 1114229457
Provider Name (Legal Business Name): MARY CHRISTINE HOISINGTON M.A., LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/18/2010
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

392 E MAIN AVE
SISTERS OR
97759-9535
US

IV. Provider business mailing address

740 NE 3RD ST STE 3
BEND OR
97701-4700
US

V. Phone/Fax

Practice location:
  • Phone: 541-241-6413
  • Fax: 541-508-5558
Mailing address:
  • Phone: 541-241-6413
  • Fax: 541-508-5558

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number53762
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberLF60440331
License Number StateWA
# 3
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberT1515
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: