Virtual Nurse Practitioner Llc
May also be knows as Jeffrey M Gonzales
Clinic/Center in Bend, OR(View on Map)
Legal Business Name
Virtual Nurse Practitioner Llc
Also Known As
Jeffrey M Gonzales
NPI Number
1285964304
NPI Type
Organization
Enumeration Date
01/12/2010
Specialties
(Taxonomies)Contact
Information
Purpose
Mailing
Location
Address
2654 NE JILL CT
2654 NE JILL CT
City
Bend
Bend
State
OR
OR
Postal Code
97701-5887
97701-5887
Country
US
US
Telephone Number
(541) 419-6337
(541) 419-6337
Authorized Official
Name
Mr. Jeffrey Gonzales
Title or Position
OWNER/PROVIDER
Telephone Number
(541) 419-6337
Identifiers
Identifier
135382
028408
Identifier State
OR
OR
Identifier Issuer
OREGON MEDICARE
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 01/12/2010
Provider Address
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