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DESCHUTES RHEUMATOLOGY LLC NPI 1316189624


NPI Information

NPI: 1316189624
Provider Name: DESCHUTES RHEUMATOLOGY, LLC
Classification: Internal Medicine - 207RR0500X
Entity Type: Organization

Specialization: Rheumatology

Address:
2200 NE NEFF RD
SUITE 320
BEND, OR
ZIP 97701
Phone: (541) 388-3978
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DESCHUTES RHEUMATOLOGY, LLC is a rheumatology internal medicine in Bend, OR. The provider is an internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases. DESCHUTES RHEUMATOLOGY, LLC NPI is 1316189624. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2200 NE NEFF RD
SUITE 320
BEND, OR
ZIP 97701-200
Phone: (541) 388-3978
Fax: (541) 278-8366

The provider's authorized official is Dan Evan Fohrman .
The authorized official title is Provider/owner and has the following contact phone number (541) 480-1727.

The enumeration date for this NPI number is 4/1/2009 and was last updated on 4/1/2009.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RR0500XInternal MedicineRheumatologyMD12275OREGONYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1C91511MEDICARE UPIN
2234203MEDICAIDOREGON
311WCGMFCMEDICARE PIN

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.