Provider Demographics
NPI:1154891547
Name:MICHAEL S. DOWNES
Entity type:Organization
Organization Name:MICHAEL S. DOWNES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:SEAN
Authorized Official - Last Name:DOWNES
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:541-728-3877
Mailing Address - Street 1:377 SW CENTURY DR STE 103
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97702-1112
Mailing Address - Country:US
Mailing Address - Phone:541-699-1466
Mailing Address - Fax:541-229-0616
Practice Address - Street 1:377 SW CENTURY DR STE 103
Practice Address - Street 2:
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97702-1112
Practice Address - Country:US
Practice Address - Phone:541-699-1466
Practice Address - Fax:541-229-0616
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-28
Last Update Date:2025-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR1295005080OtherINDIVIDUAL NPI
OR500723190Medicaid