Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jared Utterback

Individual provider Marriage & Family Therapist · NPI 1265099550

Jared Utterback is a Marriage and Family Therapist in Bend, Oregon. Qualified in 2016, 10 years ago. Accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
10
Licensed in
OR
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

695 SW Mill View Way Ste 207
Bend, OR 97702-1557
Phone: (458) 202-9632
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence T1907 (OR)
Marriage & Family Therapist Taxonomy 106H00000X · Licence R5529 (OR)

Record details

NPI number1265099550
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 22, 2019
Last updated in NPPESApril 3, 2023
Certification dateApril 3, 2023
Mailing address61181 Lodgepole Dr, Bend, OR 97702-2880

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMARRIAGE AND FAMILY THERAPIST
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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