NPI 1780846501 · live from the CMS NPI Registry
Bend Memorial Clinic PC
Dermatology in Bend, OR. National Provider Identifier 1780846501, active.
NPI record
| NPI | 1780846501 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dermatology 207N00000X |
| Practice location | 2600 Ne Neff Rd, Bend, OR 97701 |
| Practice phone | 541-322-3504 |
| Mailing address | 1501 Ne Medical Center Dr, Bend, OR 97701 |
| Enumerated | July 2, 2008 |
| Last updated | January 31, 2012 |
| Authorized official | Gregory Hagfors, Ceo |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology, MOHS-Micrographic Surgery | 207ND0101X | — |
| Dermatology primary | 207N00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.