Organization · Type 2 NPI
Embodied Performance, LLC
Professional Counselor · Bend, OR
NPI number
1982468633
Active
Practice location
2542 NE Courtney Dr Ste 200F
Bend, OR 97701-7684
Mailing address
61141 S Hwy 97, Pmb 162
Bend, OR 97702-2523
Other practice locations
- 753 SW 11th St Apt A, Redmond, OR 97756-2632 · (541) 515-5213
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | None listed |
Professional Counselor: Definition to come...
Another provider at this address
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About NPI 1982468633
Embodied Performance, LLC's National Provider Identifier is 1982468633, issued on Feb 12, 2024. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Bend, OR. The record was last updated on Jan 30, 2026.