NUTRITION GENOME NPI 1689495855

NPI Information

  • NPI: 1689495855
  • Provider Name: NUTRITION GENOME
  • Classification: Clinic/Center - 261QG0250X
  • Specialization: Genetics
  • Entity Type: Organization
  • Address: 395 SW BLUFF DR STE 10
    BEND, OR
    ZIP 97702
  • Phone: (541) 797-3036

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NPI Details

NUTRITION GENOME is a genetics clinic center in Bend, OR. The provider is an entity, facility, or distinct part of a facility providing analysis of family history, genetic laboratory testing and analysis, diagnosis of genetic trait, prognosis and options. Laboratory studies may be outsourced. NUTRITION GENOME NPI is 1689495855. The provider is registered as an organization entity type.

The provider's business location address is:

395 SW BLUFF DR STE 10
BEND, OR
ZIP 97702-670
Phone: (541) 797-3036

The provider's authorized official is Alex Jess Swanson .
The authorized official title is Founder and has the following contact phone number (541) 797-3036.

The enumeration date for this NPI number is 10/21/2024 and was last updated on 10/21/2024.

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
1261QG0250XClinic/CenterGeneticsYes

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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