Providence Health & Services - Oregon
May also be knows as Providence Pediatric Neurology Bend
Clinic/Center in Bend, OR(View on Map)
Legal Business Name
Providence Health & Services - Oregon
Also Known As
Providence Pediatric Neurology Bend
NPI Number
1194996991
NPI Type
Organization
Enumeration Date
03/19/2008
Specialties
(Taxonomies)Contact
Information
Purpose
Mailing
Location
Address
PO BOX 3158
2200 NE PROFESSIONAL CT
City
Portland
Bend
State
OR
OR
Postal Code
97208-3158
97701-6063
Country
US
US
Telephone Number
(503) 215-6494
(541) 389-6313
Authorized Official
Name
Keenan Freeman
Title or Position
CFO
Telephone Number
(503) 893-6524
Identifiers
Identifier
279130
Identifier State
OR
Identifier Issuer
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 09/25/2013
Provider Address
Other Clinics/Centers in Bend, Oregon:
Virtual Nurse Practitioner Llc
May also be known as Jeffrey M Gonzales
Bend, ORSpecialty: Clinic/Center (Primary)
Monarch Medical Group Llc
May also be known as Monarch Medical Group, Llc
Bend, ORSpecialty: Clinic/Center (Primary)