NEUROMUSCULOSKELETAL CENTER OF THE CASCADES PC (NPI# 1689191298) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689191298 |
| Entity Type | Organization |
| Organization Name | NEUROMUSCULOSKELETAL CENTER OF THE CASCADES PC |
| Other Organization Name | THE CENTER |
| Practice Address |
2245 Nw Shevlin Park Rd Bend OR 97703-7195 |
| Mailing Address |
2200 Ne Neff Rd Ste 200 Bend OR 97701-4281 |
| Practice Telephone | 5413823344 |
| Practice Fax Number | 5413821681 |
| Mailing Telephone | 5413222332 |
| Mailing Fax Number | 5413821681 |
| Enumeration Date | 2017-08-24 |
| Last Update Date | 2019-10-01 |
| Authorized Official Name | MR. MICHAEL J GONSALVES (CEO) |
| Authorized Official Telephone | 5413222238 |
| 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 | Other Service Providers |
| Other Name | Type Code |
|---|---|
| The Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265981724 | Neuromusculoskeletal Center of The Cascades PC | Clinic/Center | 333 Nw Larch Ave, Redmond, OR 97756-1186 | 2016-09-26 |
| 1114395779 | Neuromusculoskeletal Center of The Cascades PC | Clinic/Center | 815 Sw Bond St, Bend, OR 97702-3593 | 2015-09-11 |
| 1497706766 | Neuromusculoskeletal Center of The Cascades PC | Clinic/Center | 2200 Ne Neff Rd, Ste 200, Bend, OR 97701 | 2006-05-12 |
| Street Address |
2245 NW SHEVLIN PARK RD |
| City | BEND |
| State | OR |
| Zip Code | 97703-7195 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558719369 | Douglas Vangordon | Neuromusculoskeletal Medicine, Sports Medicine | 2245 Nw Shevlin Park Rd, Bend, OR 97703-7195 | 2016-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285250704 | Elizabeth Jane Lindt | Counselor | 63311 Jamison Street, Bend, OR 97703 | 2020-06-20 |
| 1790318145 | Leah Alice Williamson | Counselor | 118 Nw Thurston Ave, Bend, OR 97703 | 2020-02-13 |
| 1831658301 | Pretty Moments Lingerie, LLC | Durable Medical Equipment & Medical Supplies | 63455 N Hwy 97 Suite 44, Bend, OR 97703 | 2019-03-14 |
| 1821561150 | Kevin Hallmeyer | Chiropractor | 750 Nw Charbonneau St., Suite 101, Bend, OR 97703 | 2019-01-09 |
| 1346743267 | Jesse Maggie Mae Abraham | Massage Therapist | 39 Nw Lousiana Ave, Bend, OR 97703 | 2018-03-16 |
| 1891202396 | Jerod Paul Michael | Speech-Language Pathologist | 2736 Nw Crossing Dr, Ste. 120, Bend, OR 97703 | 2018-01-05 |
| 1952823023 | Dan Packman | Massage Therapist | 2955 N. Hwy 97, Ste 105, Riverside Wellness, Voila Massage, Bend, OR 97703 | 2017-07-11 |
| 1023460102 | Brennon Patrick Moore | Counselor | 835 Nw Bond St Ste 100, Bend, OR 97703 | 2016-07-12 |
| 1093160269 | Eric Hinds | Optometrist | 63455 N Highway 97 Ste 75, Bend, OR 97703 | 2016-04-25 |
| 1417316191 | Ronald Guiley Od, Mph, PC | Clinic/Center | 63455 N Hwy 97, Ste 75, Bend, OR 97703 | 2016-02-23 |
| Find all providers in zip 97703 | ||||
| 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 | ||||
Please comment or provide details below to improve the information on NEUROMUSCULOSKELETAL CENTER OF THE CASCADES PC.
| 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.