| |
2654 Ne Jill Ct Bend OR 97701-5887 | |
(541) 419-6337 | |
(866) 638-8660 |
Full Name | |
---|---|
Speciality | Clinic/center |
Location | 2654 Ne Jill Ct, Bend, Oregon |
Authorized Official Name and Position | Jeffrey M Gonzales (OWNER/PROVIDER) |
Authorized Official Contact | 5414196337 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
2654 Ne Jill Ct Bend OR 97701-5887 Ph: (541) 419-6337 | 2654 Ne Jill Ct Bend OR 97701-5887 Ph: (541) 419-6337 |
NPI Number | 1285964304 |
---|---|
Provider Enumeration Date | 01/12/2010 |
Last Update Date | 01/12/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285964304 | NPI | - | NPPES |
135382 | Other | OR | OREGON MEDICARE |
028408 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (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 | |