PROVIDENCE HEALTH & SERVICES - OREGON NPI 1194996991

NPI Information

PROVIDENCE HEALTH & SERVICES - OREGON is a clinic center in Bend, OR. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). PROVIDENCE HEALTH & SERVICES - OREGON NPI is 1194996991. The provider is registered as an organization entity type.
The provider Is Doing Business As Providence Pediatric Neurology Bend.

The provider's business location address is:

2200 NE PROFESSIONAL CT
BEND, OR
ZIP 97701-063
Phone: (541) 389-6313

The provider's authorized official is Keenan B Freeman .
The authorized official title is Cfo and has the following contact phone number (503) 893-6524.

The enumeration date for this NPI number is 3/19/2008 and was last updated on 9/25/2013.

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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