| Journey Health, Inc | |
|
354 Ne Greenwood Ave Ste 102 Bend OR 97701-4631 | |
| (541) 350-8963 | |
| (541) 350-8963 |
| Full Name | Journey Health, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 354 Ne Greenwood Ave Ste 102, Bend, Oregon |
| Authorized Official Name and Position | Carey Pulido (CEO) |
| Authorized Official Contact | 5417974063 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Journey Health, Inc 354 Ne Greenwood Ave Ste 102 Bend OR 97701-4631 Ph: (541) 350-8963 | Journey Health, Inc 354 Ne Greenwood Ave Ste 102 Bend OR 97701-4631 Ph: (541) 350-8963 |
| NPI Number | 1487129235 |
|---|---|
| Provider Enumeration Date | 10/09/2018 |
| Last Update Date | 04/18/2022 |
| Medicare PECOS PAC ID | 6204176985 |
|---|---|
| Medicare Enrollment ID | O20190315000465 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487129235 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Carey A Pulido |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811380157 PECOS PAC ID: 8224344072 Enrollment ID: I20150825003851 |
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