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DESERT PEAKS HEALTH CARE LLC NPI 1316489644


NPI Information

NPI: 1316489644
Provider Name: DESERT PEAKS HEALTH CARE, LLC
Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 38D2125585

Address:
3818 SW 21ST PL
SUITE 201
REDMOND, OR
ZIP 97756
Phone: (541) 548-4088
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DESERT PEAKS HEALTH CARE, LLC is an internal medicine in Redmond, OR. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. DESERT PEAKS HEALTH CARE, LLC NPI is 1316489644. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3818 SW 21ST PL
SUITE 201
REDMOND, OR
ZIP 97756-801
Phone: (541) 548-4088
Fax: (541) 548-3732

The provider's authorized official is Anne Carissa Killingbeck .
The authorized official title is Md and has the following contact phone number (503) 724-4032.

The CLIA number assigned to this NPI record is 38D2125585 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/17/2016 and was last updated on 1/29/2020.


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 License Number License State Primary
1207R00000XInternal MedicineYes

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

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