MEDICARE: ANNA P FIELD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1023234663
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNA P FIELD

Provider Business Mailing Address
First Line	:	19834 POWERS RD
Second Line	:
City	:	BEND
State	:	OR
Zip	:	97702-2069
Country	:	US
Telephone Number	:	919-630-6209
Fax Number	:

Provider Business Practice Location Address
First Line	:	1550 NE WILLIAMSON BLVD STE 110
Second Line	:
City	:	BEND
State	:	OR
Zip	:	97701-6091
Country	:	US
Telephone Number	:	541-728-3566
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/18/2007
Last Update Date	:	12/02/2024

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Directions to “ ANNA P FIELD ” Practice Location

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