DIABETES AND OBESITY CARE LLC NPI 1134705155

NPI Information

DIABETES AND OBESITY CARE LLC is a medical specialty clinic center in Bend, OR. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). DIABETES AND OBESITY CARE LLC NPI is 1134705155. The provider is registered as an organization entity type.

The provider's business location address is:

185 SW SHEVLIN HIXON DR STE 111
BEND, OR
ZIP 97702-263
Phone: (541) 388-6789
Fax: (541) 639-2517

The provider's authorized official is Eden M Miller .
The authorized official title is Ceo and has the following contact phone number (541) 740-7563.

The CLIA number assigned to this NPI record is 38D2216259 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/20/2021 and was last updated on 3/20/2021.

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:

Other Identifiers

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

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