AVERY GRACE

BEND, OR
NPI1194268623
Former NameAVERY ERICKSON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: OR  22-QMHP-R-1292)
Additional Taxonomies171100000X Acupuncturist
(Licence: CA  17331)
Enumeration Date2016-12-01
Last Update Date2022-06-28
Business Address
AVERY GRACE QMHP
1058 NE 12TH ST
BEND, OR 97701-4412
Phone number: 541-678-5320
Mailing Address
AVERY GRACE QMHP
1058 NE 12TH ST
BEND, OR 97701-4412
Phone number: 541-678-5320