NEUROMUSCULOSKELETAL CENTER OF THE CASCADES PC (NPI# 1114395779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114395779 |
| Entity Type | Organization |
| Organization Name | NEUROMUSCULOSKELETAL CENTER OF THE CASCADES PC |
| Other Organization Name | THE CENTER |
| Practice Address |
815 Sw Bond St Bend OR 97702-3593 |
| Mailing Address |
2200 Ne Neff Rd Suite 200 Bend OR 97701-4283 |
| Practice Telephone | 5413823344 |
| Practice Fax Number | 5413821681 |
| Mailing Telephone | 5413823344 |
| Mailing Fax Number | 5413821681 |
| Enumeration Date | 2015-09-11 |
| Last Update Date | 2019-10-01 |
| Authorized Official Name | MR. MICHAEL GONSALVES (CEO) |
| Authorized Official Telephone | 5413823344 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities | ||
| Y | 174400000X | Specialist | MD24633 | OR | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 134170 | 05 | |
| OR | CLIA | 38D2009896 | 01 |
| Other Name | Type Code |
|---|---|
| The Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689191298 | Neuromusculoskeletal Center of The Cascades PC | Clinic/Center | 2245 Nw Shevlin Park Rd, Bend, OR 97703-7195 | 2017-08-24 |
| 1265981724 | Neuromusculoskeletal Center of The Cascades PC | Clinic/Center | 333 Nw Larch Ave, Redmond, OR 97756-1186 | 2016-09-26 |
| 1497706766 | Neuromusculoskeletal Center of The Cascades PC | Clinic/Center | 2200 Ne Neff Rd, Ste 200, Bend, OR 97701 | 2006-05-12 |
| Street Address |
815 SW BOND ST |
| City | BEND |
| State | OR |
| Zip Code | 97702-3593 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396745303 | Jill M Olinger | Dermatology | 815 Sw Bond St, Bend, OR 97702 | 2005-08-01 |
| 1194162230 | Matthew Ryan Clark | Dermatology | 815 Sw Bond St, Bend, OR 97702-3593 | 2013-05-30 |
| 1932495488 | Craig Robert Laws | Family Medicine | 815 Sw Bond St, Suite 300, Bend, OR 97702-3593 | 2011-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629676259 | Amy Michelle Anderson | Counselor | 233 Sw Wilson Ave, Ste 201, Bend, OR 97702 | 2020-10-15 |
| 1386259463 | Jacob Rehder | Counselor | 19717 Mt Batchelor Dr, #226, Bend, OR 97702 | 2020-09-15 |
| 1497385215 | Capacity Performance Therapy | Physical Medicine & Rehabilitation | 61125 Lodgepole Dr., Bend, OR 97702 | 2020-01-21 |
| 1962041707 | Shift Bend Functional Medicine | Family Medicine | 151 Sw Shevlin Hicks Dr, Suite #1, Bend, OR 97702 | 2019-12-26 |
| 1609435049 | Praxis Medical Group Inc | Orthopaedic Surgery | 1140 Sw Simpson Avenue, Suite 100, Bend, OR 97702 | 2019-06-10 |
| 1013485754 | Elana Leah Pesah | Social Worker | 138 Maaglei Harim Levin, Jerusalem, ISRAEL 97702 | 2018-11-12 |
| 1104303239 | Kyleigh Mcvey | Massage Therapist | 999 Sw Disk Dr, Bend, OR 97702 | 2018-07-21 |
| 1477042869 | Siloe Castaneda Huerta | Counselor | 1340 Nw Wall, Bend, Or, Bend, OR 97702 | 2018-05-02 |
| 1164910808 | Rebecca M Joyce | Social Worker | 1011 Sw Emkay Dr. Suite 101, Bend, OR 97702 | 2018-04-27 |
| 1093217978 | Jennifer Bury | Acupuncturist | 296 Sw Columbia St Ste D1, Bend, OR 97702 | 2018-03-06 |
| Find all providers in zip 97702 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588116180 | Jill Burrows | Specialist | 1546 Nw 3rd St, Bend, OR 97703-2307 | 2016-10-29 |
| 1659825909 | Jordan English | Specialist | 1353 Ne 7th St, Bend, OR 97701-4313 | 2016-08-03 |
| 1235590647 | Gemini Therapeutics | Specialist | 61277 Splendor Ln, Bend, OR 97702-2974 | 2016-03-11 |
| 1114333465 | Donna Chisholm | Specialist | 1435 Nw West Hills Ave, Bend, OR 97701-1040 | 2014-07-08 |
| 1023430139 | Danette Colovos | Specialist | 376 Sw Bluff Dr Ste 2, Bend, OR 97702-1399 | 2014-01-08 |
| 1417384157 | Marci Drum | Specialist | 805 Sw Industrial Way Ste 8, Bend, OR 97702-1093 | 2013-09-26 |
| 1083048276 | Sally Champa | Specialist | 816 Nw Hill St, Bend, OR 97701-2925 | 2013-08-24 |
| 1831466853 | Kate Harper Smith | Specialist | 867 Ne Hidden Valley Dr Unit 1, Bend, OR 97701-5968 | 2011-11-18 |
| 1962787341 | Paige Robinson | Specialist | 1232 Nw Milwaukee Ave, Bend, OR 97701-2209 | 2011-10-17 |
| 1346545720 | Robbie Bianchi Dee Bianchi | Specialist | 60801 Brosterhous Rd, Bend, OR 97702-9738 | 2011-01-17 |
| Find all providers in BEND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.