| Bachelor Butte Internal Medicine | |
|
2855 Nw Crossing Dr Suite 101 Bend OR 97701-7049 | |
| (541) 330-6003 | |
| Not Available |
| Full Name | Bachelor Butte Internal Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 2855 Nw Crossing Dr, Bend, Oregon |
| Authorized Official Name and Position | Mike D Henderson (OWNER) |
| Authorized Official Contact | 5413306003 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bachelor Butte Internal Medicine 2855 Nw Crossing Dr Suite 101 Bend OR 97701-7049 Ph: (541) 330-6003 | Bachelor Butte Internal Medicine 2855 Nw Crossing Dr Suite 101 Bend OR 97701-7049 Ph: (541) 330-6003 |
| NPI Number | 1841477239 |
|---|---|
| Provider Enumeration Date | 01/28/2008 |
| Last Update Date | 08/05/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841477239 | NPI | - | NPPES |
| 287780 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | DO25674 (Oregon) | Primary |
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