| Providence Pediatric Neurology Bend | |
|
2200 Ne Professional Ct Bend OR 97701-6063 | |
| (541) 389-6313 | |
| Not Available |
| Full Name | Providence Pediatric Neurology Bend |
|---|---|
| Speciality | Clinic/center |
| Location | 2200 Ne Professional Ct, Bend, Oregon |
| Authorized Official Name and Position | Keenan B Freeman (CFO) |
| Authorized Official Contact | 5038936524 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Providence Pediatric Neurology Bend Po Box 3158 Portland OR 97208-3158 Ph: (503) 215-6494 | Providence Pediatric Neurology Bend 2200 Ne Professional Ct Bend OR 97701-6063 Ph: (541) 389-6313 |
| NPI Number | 1194996991 |
|---|---|
| Provider Enumeration Date | 03/19/2008 |
| Last Update Date | 09/25/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194996991 | NPI | - | NPPES |
| 279130 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 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: 541-480-2827 | |
St. Charles Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2500 Ne Neff Rd, Bend, OR 97701 Phone: 541-382-4321 | |
Mosaic Medical Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2577 Ne Courtney Dr Ste 100, Bend, OR 97701 Phone: 541-383-3005 | |
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 | |
Bend Plastic Surgery Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1239 Ne Medical Center Dr Ste 240, Bend, OR 97701 Phone: 541-749-2282 Fax: 541-749-2283 | |
St. Charles Immediate Care Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2600 Ne Neff Rd, Bend, OR 97701 Phone: 541-706-3700 Fax: 541-706-3730 |