NPI 1699827477 · live from the CMS NPI Registry
Bend Memorial Clinic PC
Family Medicine in Bend, OR. National Provider Identifier 1699827477, active.
NPI record
| NPI | 1699827477 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 1501 Ne Medical Center Dr, Bend, OR 97701 |
| Practice phone | 541-382-2811 |
| Enumerated | January 18, 2007 |
| Last updated | April 21, 2023 |
| Authorized official | Jessie Dover, Credentialing Coordinator |
| Other names | Summit Health |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine | 207R00000X | — |
| Internal Medicine, Cardiovascular Disease | 207RC0000X | — |
| Internal Medicine, Endocrinology, Diabetes & Metabolism | 207RE0101X | — |
| Internal Medicine, Gastroenterology | 207RG0100X | — |
| Internal Medicine, Hematology & Oncology | 207RH0003X | — |
| Internal Medicine, Nephrology | 207RN0300X | — |
| Dermatology, MOHS-Micrographic Surgery | 207ND0101X | — |
| Dermatology | 207N00000X | — |
| Internal Medicine, Pulmonary Disease | 207RP1001X | — |
| Internal Medicine, Rheumatology | 207RR0500X | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — |
| Internal Medicine, Medical Oncology | 207RX0202X | — |
| Ophthalmology | 207W00000X | — |
| Surgery | 208600000X | — |
| Family Medicine primary | 207Q00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.