Provider Demographics
NPI:1083415376
Name:DOWNTOWN PSYCHOLOGICAL SERVICES
Entity type:Organization
Organization Name:DOWNTOWN PSYCHOLOGICAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LEWIS
Authorized Official - Middle Name:
Authorized Official - Last Name:BANK
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:503-367-4042
Mailing Address - Street 1:1345 NW WALL ST STE 303
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97703-1970
Mailing Address - Country:US
Mailing Address - Phone:503-367-4042
Mailing Address - Fax:
Practice Address - Street 1:1345 NW WALL ST STE 303
Practice Address - Street 2:
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97703-1970
Practice Address - Country:US
Practice Address - Phone:503-367-4042
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-21
Last Update Date:2025-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty