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595 Sw Bluff Dr Ste A Bend OR 97702-1283 | |
(541) 508-4858 | |
Not Available |
Full Name | |
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Speciality | Clinic/center |
Location | 595 Sw Bluff Dr Ste A, Bend, Oregon |
Authorized Official Name and Position | Elsy Ceja Ruiz (OFFICE MANAGER) |
Authorized Official Contact | 5415058773 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 70673 Springfield OR 97475-0133 Ph: (541) 285-3108 | 595 Sw Bluff Dr Ste A Bend OR 97702-1283 Ph: (541) 508-4858 |
NPI Number | 1356848352 |
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Provider Enumeration Date | 04/07/2018 |
Last Update Date | 06/03/2021 |
Identifier | Type | State | Issuer |
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1356848352 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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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 | |
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