NPI 1174847719 · live from the CMS NPI Registry
Bend Memorial Clinic PC
Family Medicine in Redmond, OR. National Provider Identifier 1174847719, active.
NPI record
| NPI | 1174847719 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 865 Sw Veterans Way, Redmond, OR 97756 |
| Practice phone | 541-322-3500 |
| Mailing address | 1501 Ne Medical Center Dr, Bend, OR 97701 |
| Enumerated | March 25, 2010 |
| Last updated | January 31, 2012 |
| Authorized official | Gregory Hagfors, Ceo |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Allergy & Immunology | 207K00000X | — |
| Internal Medicine, Cardiovascular Disease | 207RC0000X | — |
| Internal Medicine, Nephrology | 207RN0300X | — |
| Internal Medicine, Medical Oncology | 207RX0202X | — |
| Ophthalmology | 207W00000X | — |
| Optometrist | 152W00000X | — |
| Internal Medicine, Pulmonary Disease | 207RP1001X | — |
| Internal Medicine, Rheumatology | 207RR0500X | — |
| Family Medicine primary | 207Q00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.