Organization

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)

Code

261Q00000X

Primary Taxonomy

Yes

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

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