Bend Whole Health Pc | |
354 Ne Norton Ave, Ste 100, Bend, OR 97701-4392 | |
(541) 389-1191 | |
(541) 389-1972 |
Full Name | Bend Whole Health Pc |
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Type | Facility |
Speciality | Chiropractor |
Location | 354 Ne Norton Ave, Bend, Oregon |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548422546 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | 27-3196 (Oregon) | Primary |
Provider Name | Daniel J Bourque |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1558438630 PECOS PAC ID: 4880767409 Enrollment ID: I20080715000742 |
Mailing Address | Practice Location Address |
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Bend Whole Health Pc 354 Ne Norton Ave, Ste 100, Bend, OR 97701-4392 Ph: (541) 389-1191 | Bend Whole Health Pc 354 Ne Norton Ave, Ste 100, Bend, OR 97701-4392 Ph: (541) 389-1191 |
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