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Provider Information for 1043837578


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Ms. PAISLEY PIJUAN LCSW


Sex: Female

NPI: 1043837578
Last Updated: 2023-01-12
Certification Date: 2023-01-12

Details

NameValue
NPI1043837578
Enumeration Date2020-06-30
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 600 SW COLUMBIA ST STE 6250
BEND, OR 97702-1099
United States

Phone: 541-383-3005 | Fax:541-383-1883
 
Primary Practice Address 2084 NE PROFESSIONAL CT
BEND, OR 97701-6077
United States

Phone: 541-383-3005 | Fax:541-383-1883
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 1041C0700X - Social Worker - ClinicalORL12111