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501 Ne Greenwood Ave Ste 200 Bend OR 97701-4639 | |
(541) 317-4712 | |
(541) 389-3953 |
Full Name | |
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Speciality | Clinic/Center |
Location | 501 Ne Greenwood Ave Ste 200, Bend, Oregon |
Authorized Official Name and Position | Linda Nordhus (CHIROPRACTIC PHYSICIAN) |
Authorized Official Contact | 5413174712 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 892 Bend OR 97709-0892 Ph: (541) 317-4712 | 501 Ne Greenwood Ave Ste 200 Bend OR 97701-4639 Ph: (541) 317-4712 |
NPI Number | 1952598138 |
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Provider Enumeration Date | 10/01/2007 |
Last Update Date | 09/11/2023 |
Medicare PECOS PAC ID | 4284720731 |
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Medicare Enrollment ID | O20071016000066 |
Identifier | Type | State | Issuer |
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1952598138 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | 713747 (Oregon) | Primary |
Provider Name | Linda S Nordhus |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1306036306 PECOS PAC ID: 5294829529 Enrollment ID: I20070918000380 |
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