BEND MEMORIAL CLINIC PC NPI 1174847719

NPI Information

NPI: 1174847719
Provider Name: BEND MEMORIAL CLINIC PC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
865 SW VETERANS WAY
REDMOND, OR
ZIP 97756
Phone: (541) 322-3500
Get Directions

BEND MEMORIAL CLINIC PC is a family medicine in Redmond, OR. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. BEND MEMORIAL CLINIC PC NPI is 1174847719. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

865 SW VETERANS WAY
REDMOND, OR
ZIP 97756-563
Phone: (541) 322-3500

The provider's authorized official is Gregory Hagfors .
The authorized official title is Ceo and has the following contact phone number (541) 706-5401.

The enumeration date for this NPI number is 3/25/2010 and was last updated on 1/31/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	207K00000X	Allergy & Immunology		No
2	207RC0000X	Internal Medicine	Cardiovascular Disease	No
3	207RN0300X	Internal Medicine	Nephrology	No
4	207RX0202X	Internal Medicine	Medical Oncology	No
5	207W00000X	Ophthalmology		No
6	152W00000X	Optometrist		No
7	207RP1001X	Internal Medicine	Pulmonary Disease	No
8	207RR0500X	Internal Medicine	Rheumatology	No
9	207Q00000X	Family Medicine		Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	213243	MEDICAID	OREGON
2	135696	MEDICARE PIN	OREGON
3	6028230004	MEDICARE NSC	OREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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