NPI 1689800773 · live from the CMS NPI Registry
Bend Memorial Clinic PC
Family Medicine in Bend, OR. National Provider Identifier 1689800773, active.
NPI record
| NPI | 1689800773 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 1080 Mount Bachelor Dr, Bend, OR 97702 |
| Practice phone | 541-550-4400 |
| Mailing address | 1501 Ne Medical Center Dr, Bend, OR 97701 |
| Enumerated | June 3, 2009 |
| Last updated | February 10, 2012 |
| Authorized official | Gregory Hagfors, Ceo |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist | 152W00000X | — |
| Specialist | 174400000X | — |
| Internal Medicine | 207R00000X | — |
| Ophthalmology | 207W00000X | — |
| Pediatrics | 208000000X | — |
| Family Medicine primary | 207Q00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.