MOSAIC MEDICAL NPI 1710328992

NPI Information

MOSAIC MEDICAL is a federally qualified health center (fqhc) clinic center in Bend, OR. MOSAIC MEDICAL NPI is 1710328992. The provider is registered as an organization entity type.
The provider Is Doing Business As Mosaic Medical Complex Care Center.

The provider's business location address is:

2065 NE TUCSON WAY APT 110
BEND, OR
ZIP 97701-182
Phone: (541) 419-1607
Fax: (541) 383-1883

The provider's authorized official is Megan Haase .
The authorized official title is Ceo and has the following contact phone number (541) 383-3005.

The enumeration date for this NPI number is 7/16/2013 and was last updated on 4/5/2022.

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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