RITUAL MEDICAL LLC NPI 1578283008

NPI Information

  • NPI: 1578283008
  • Provider Name: RITUAL MEDICAL LLC
  • Classification: Preventive Medicine - 2083A0300X
  • Specialization: Addiction Medicine
  • Entity Type: Organization
  • :
  • Address: 711 NE IRVING AVE
    BEND, OR
    ZIP 97701
  • Phone: (541) 255-1530

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NPI Details

RITUAL MEDICAL LLC is an addiction medicine preventive medicine in Bend, OR. The provider is a physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction. RITUAL MEDICAL LLC NPI is 1578283008. The provider is registered as an organization entity type and is a multi-specialty group.
The provider .

The provider's business location address is:

711 NE IRVING AVE
BEND, OR
ZIP 97701-738
Phone: (541) 255-1530
Fax: (541) 219-5356

The provider's authorized official is Matthew Mullane .
The authorized official title is Owner and has the following contact phone number (541) 255-1530.

The enumeration date for this NPI number is 9/2/2022 and was last updated on 9/29/2025.

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
1101YM0800XCounselorMental HealthNo
2202D00000XIntegrative MedicineNo
3207Q00000XFamily MedicineNo
42083A0300XPreventive MedicineAddiction 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: 11/21/2025

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