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2855 Nw Crossing Dr Suite 101 Bend OR 97701-7049 | |
(541) 330-6003 | |
Not Available |
Full Name | |
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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 |
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2855 Nw Crossing Dr Suite 101 Bend OR 97701-7049 Ph: (541) 330-6003 | 2855 Nw Crossing Dr Suite 101 Bend OR 97701-7049 Ph: (541) 330-6003 |
NPI Number | 1841477239 |
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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 |
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207R00000X | Internal Medicine | DO25674 (Oregon) | Primary |
Pine Springs Health Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 711 Ne Irving Ave, Bend, OR 97701 Phone: 541-330-9110 | |
Adam Derr, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 528 Ne Greenwood Ave, Bend, OR 97701 Phone: 541-385-7890 Fax: 541-388-2606 | |
Driven Enterprises Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 20700 Wandalea Dr, Bend, OR 97701 Phone: 435-669-2930 | |