Oregon Psych NP, LLC
Organization Active NPI Psychiatric/Mental Health Nurse Practitioner · Bend, OR
NPI 1760144166 · NPPES record last updated Feb 19, 2025
Key facts
- NPI
- 1760144166
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- Legal business name
- OREGON PSYCH NP, LLC
- Practice address
- 1569 SW Nancy Way Ste 2
Bend, OR 97702-3234 - Phone
- (541) 382-1395
- Fax
- (541) 382-6576
- NPI assigned
- Oct 13, 2021
- Organization subpart
- Yes
- Parent organization (as reported)
- OREGON PSYCH NP, LLC
Authorized official
- Name
- Kimberly Sue Butler, PMHNP
- Title
- Managing Member
- Phone
- (541) 382-1395
Practitioners 6
-
Kimberly Sue Butler, N.P.
-
Margaret Lang Smith, PA-C
-
Joseph A Barrett, MD
National Provider Directory
- Part of
- Kimberly Butler NP
Locations
1569 SW Nancy Way
Ste 2
Bend, OR 97702
Phone (541) 382-1395
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner |
363LP0808X | Yes |
Addresses
Primary practice location
1569 SW Nancy Way Ste 2
Bend, OR 97702-3234
Mailing address
PO Box 5264
Bend, OR 97708-5264
Phone (503) 853-9356
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578934535 | Other | NPI |
Other names
- Kimberly Sue Butler
- Oregon Psych NP, LLC
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | www.bendpsychiatry.com |
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All providers in Bend, OR · Psychiatric/Mental Health Nurse Practitioner in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 19, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.