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BEND WHOLE HEALTH PC NPI 1548422546


NPI Information

NPI: 1548422546
Provider Name: BEND WHOLE HEALTH PC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
354 NE NORTON AVE
STE 100
BEND, OR
ZIP 97701
Phone: (541) 389-1191
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BEND WHOLE HEALTH PC is a chiropractor in Bend, OR. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. BEND WHOLE HEALTH PC NPI is 1548422546. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

354 NE NORTON AVE
STE 100
BEND, OR
ZIP 97701-392
Phone: (541) 389-1191
Fax: (541) 389-1972

The provider's authorized official is Daniel Joseph Bourque .
The authorized official title is President and has the following contact phone number (541) 389-1191.

The enumeration date for this NPI number is 6/30/2008 and was last updated on 7/31/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractor27-3196OREGONYes

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
1R142109MEDICARE PINOREGON

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: 4/28/2024

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