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2330 Ne Division St Suite 7 Bend OR 97703-3530 | |
(503) 775-4931 | |
(503) 788-7285 |
Full Name | |
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Speciality | Non-pharmacy Dispensing Site |
Location | 2330 Ne Division St, Bend, Oregon |
Authorized Official Name and Position | Stacy Cross (PRESIDENT & CEO) |
Authorized Official Contact | 5037754931 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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3727 Ne Martin Luther King Jr Blvd Portland OR 97212-1112 Ph: (503) 775-4931 | 2330 Ne Division St Suite 7 Bend OR 97703-3530 Ph: (503) 775-4931 |
NPI Number | 1336518562 |
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Provider Enumeration Date | 09/17/2015 |
Last Update Date | 09/17/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336518562 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
332900000X | Non-pharmacy Dispensing Site | (* (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 | |