| Deschutes Onsite Clinic | |
|
1340 Nw Wall St Bend OR 97703-1985 | |
| (541) 317-3189 | |
| (541) 317-3190 |
| Full Name | Deschutes Onsite Clinic |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 1340 Nw Wall St, Bend, Oregon |
| Authorized Official Name and Position | Jonathan Leizman (PRESIDENT) |
| Authorized Official Contact | 2164799063 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Deschutes Onsite Clinic 5500 Maryland Way Ste 120 Brentwood TN 37027-4993 Ph: () - | Deschutes Onsite Clinic 1340 Nw Wall St Bend OR 97703-1985 Ph: (541) 317-3189 |
| NPI Number | 1457017238 |
|---|---|
| Provider Enumeration Date | 11/16/2021 |
| Last Update Date | 10/13/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457017238 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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