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NPI Code Detail

MEDICARE: MERRI EBBIGHAUSEN

MEDICARE: MERRI EBBIGHAUSEN
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
1104100000XSocial Worker

General Provider Information

NPI Number : 1134874522
Entity Type Code : Individual
Provider Name (Legal Business Name) : MERRI EBBIGHAUSEN
Provider Business Mailing Address
First Line : 62895 HAMBY RD
Second Line :
City : BEND
State : OR
Zip : 97701-9575
Country : US
Telephone Number : 971-300-1878
Fax Number :
Provider Business Practice Location Address
First Line : 62895 HAMBY RD
Second Line :
City : BEND
State : OR
Zip : 97701-9575
Country : US
Telephone Number : 541-389-1409
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/15/2022
Last Update Date : 02/15/2022

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Directions to “ MERRI EBBIGHAUSEN ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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