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1715 Sw Chandler Avenue Suite 100 Bend OR 97702-3615 | |
(541) 550-7223 | |
(541) 550-7224 |
Full Name | |
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Speciality | Internal Medicine |
Location | 1715 Sw Chandler Avenue, Bend, Oregon |
Authorized Official Name and Position | Katherine Judkins (VICE PRESIDENT) |
Authorized Official Contact | 6152403770 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1a Burton Hills Boulevard Attn: Provider Enrollment Nashville TN 37215-6187 Ph: (615) 263-5576 | 1715 Sw Chandler Avenue Suite 100 Bend OR 97702-3615 Ph: (541) 550-7223 |
NPI Number | 1215647029 |
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Provider Enumeration Date | 12/02/2022 |
Last Update Date | 03/03/2023 |
Identifier | Type | State | Issuer |
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1215647029 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (* (Not Available)) | 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 | |