FULL CIRCLE VENTURES, LLC


Address: 62806 Baskin Ct, Bend, OR 97701-9565
Phone: 5413902464

FULL CIRCLE VENTURES, LLC (NPI# 1285922641) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1285922641
Entity Type Organization
Organization Name FULL CIRCLE VENTURES, LLC
Practice Address 62806 Baskin Ct
Bend
OR 97701-9565
Practice Telephone 5413902464
Mailing Telephone 5413902464
Enumeration Date 2011-07-19
Last Update Date 2011-07-19
Authorized Official Name MR. ERIC S DAVIS (OWNER)
Authorized Official Telephone 5413902464
Authorized Official Credential PA
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
PA00844 OR Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 62806 BASKIN CT
City BEND
State OR
Zip Code 97701-9565

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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1437458163 Lindsey R Reese Physician Assistant 1140 Sw Simpson Ave Ste 110, Bend, OR 97702-3789 2011-03-21
1346225851 Richard Edward Lindsay Physician Assistant 1715 Sw Chandler Ave, Ste 100, Bend, OR 97702-3200 2005-12-08
1720547060 Meredith Anne Helfrich Physician Assistant 1501 Ne Medical Center Dr, Bend, OR 97701-6099 2019-03-17
1578921003 Elysia Churchman Physician Assistant 1501 Ne Medical Center Dr, Bend, OR 97701-6051 2016-01-28
1326418104 Alyssa Argabright Physician Assistant 2090 Ne Wyatt Ct Ste 101, Bend, OR 97701-7691 2015-10-05
1912314352 Christopher Wright Physician Assistant 2275 Ne Doctors Dr, Suite 9, Bend, OR 97701-6324 2014-07-17
1609281518 Catherine Heaphy Physician Assistant 2275 Ne Doctors Dr Ste 6, Bend, OR 97701-6092 2014-06-30
1235405267 Kathryn Caba Physician Assistant 1303 Ne Cushing Dr, Ste 100, Bend, OR 97701-3887 2012-03-23
1508183773 Christine Leah-jean Barlow Physician Assistant 1303 Ne Cushing Dr Ste 100, Bend, OR 97701-3887 2010-04-28
1578880894 Lauren Kay Beebe Physician Assistant 2500 Ne Neff Rd, Bend, OR 97701-6015 2010-04-26
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Competitor

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City BEND
Zip Code 97701

Improve Information

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Dataset Information

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.

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