| NPI | 1730384975 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE W BUNDY Clinical Psychologist 541-382-0279 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OR 0752) |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2020-08-22 |