HEARTHSIDE MEDICINE FAMILY CARE LLC is a primary care clinic center in Bend, OR. HEARTHSIDE MEDICINE FAMILY CARE LLC NPI is 1477051795. The provider is registered as an organization entity type.
The provider Is Doing Business As Hearthside Medicine Family Care.
The provider's business location address is:
205 NW FRANKLIN AVE
BEND, OR
ZIP 97703-801
Phone: (541) 316-5693
Fax: (541) 255-0947
The provider's authorized official is Havilah Noel Brodhead .
The authorized official title is Co-owner and has the following contact phone number (970) 275-6108.
The CLIA number assigned to this NPI record is 38D2179520 - practitioner other with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 2/1/2018 and was last updated on 11/13/2018.