| |
62968 O B Riley Rd Building A-1 Bend OR 97701-9442 | |
(541) 389-4848 | |
Not Available |
Full Name | |
---|---|
Speciality | Family Medicine - Sports Medicine |
Location | 62968 O B Riley Rd, Bend, Oregon |
Authorized Official Name and Position | Michael Joshua Haber (OWNER) |
Authorized Official Contact | 5413894848 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Po Box 6673 Bend OR 97708-6673 Ph: (541) 389-4848 | 62968 O B Riley Rd Building A-1 Bend OR 97701-9442 Ph: (541) 389-4848 |
NPI Number | 1922143767 |
---|---|
Provider Enumeration Date | 02/20/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1922143767 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QS0010X | Family Medicine - Sports Medicine | 18811 (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 | |