Most Relevant Information
Provider Data
| NPI Number: | 1003367459 |
| Provider Name: | MARISSA INMAN |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/20/2016 |
| Last Updated: | 10/20/2016 |
Provider Practice Location
406 W ANTLER AVE
REDMOND
OR
977561812
Practice Location Phone/Fax
| Phone: | 5413227500 |
| Fax: |
Provider Mailing Location
2577 NE COURTNEY DR
BEND
OR
977017638
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |