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NPI Code Detail

MEDICARE: RACHELE GALLINAT

MEDICARE: RACHELE GALLINAT
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
11041C0700XClinical Social Worker10948OR
2101YM0800XMental Health CounselorOR

General Provider Information

NPI Number : 1649777111
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHELE GALLINAT
Provider Business Mailing Address
First Line : 63420 HUGHES RD
Second Line :
City : BEND
State : OR
Zip : 97701-8234
Country : US
Telephone Number : 541-420-4385
Fax Number :
Provider Business Practice Location Address
First Line : 2500 NE NEFF RD
Second Line :
City : BEND
State : OR
Zip : 97701-6015
Country : US
Telephone Number : 541-706-5880
Fax Number : 541-706-5899
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2018
Last Update Date : 05/13/2026

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Directions to “ RACHELE GALLINAT ” Practice Location

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