BEND MEMORIAL CLINIC PC


Address: 1080 Mount Bachelor Dr, Bend, OR 97702-3280
Phone: 5415504400

BEND MEMORIAL CLINIC PC (NPI# 1689800773) 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) 1689800773
Entity Type Organization
Organization Name BEND MEMORIAL CLINIC PC
Practice Address 1080 Mount Bachelor Dr
Bend
OR 97702-3280
Mailing Address 1501 Ne Medical Center Dr
Bend
OR 97701-6051
Practice Telephone 5415504400
Mailing Telephone 5413822811
Enumeration Date 2009-06-03
Last Update Date 2012-02-10
Authorized Official Name GREGORY HAGFORS (CEO)
Authorized Official Telephone 5417065401
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207W00000X Ophthalmology Allopathic & Osteopathic Physicians
N 208000000X Pediatrics Allopathic & Osteopathic Physicians
N 152W00000X Optometrist Eye and Vision Services Providers
N 174400000X Specialist Other Service Providers
N 207R00000X Internal Medicine Allopathic & Osteopathic Physicians
Y 207Q00000X Family Medicine Allopathic & Osteopathic Physicians

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1447535075 Bend Memorial Clinic PC Emergency Medicine 13000 Sw Century Drive, Bend, OR 97702 2011-10-14
1912169699 Bend Memorial Clinic PC Specialist 1541 Nw Canal Blvd, Redmond, OR 97756-1341 2008-06-25
1972144913 Bend Memorial Clinic PC Clinical Medical Laboratory 1501 Ne Medical Center Dr, Bend, OR 97701-6051 2019-10-01
1851616692 Bend Memorial Clinic PC Family Medicine 231 E Cascade Ave, Sisters, OR 97759-1140 2010-04-05
1174847719 Bend Memorial Clinic PC Allergy & Immunology 865 Sw Veterans Way, Redmond, OR 97756-2563 2010-03-25
1780846501 Bend Memorial Clinic PC Dermatology 2600 Ne Neff Rd, Bend, OR 97701-6337 2008-07-02
1699827477 Bend Memorial Clinic PC Dermatology 1501 Ne Medical Center Dr, Bend, OR 97701-6051 2007-01-18

Office Location

Street Address 1080 MOUNT BACHELOR DR
City BEND
State OR
Zip Code 97702-3280

Providers in the same location

NPI Name Taxonomy Address Enumeration
1124006689 Dana M Rhode Legal Medicine 1080 Mount Bachelor Dr, Bend, OR 97702-3280 2006-01-05
1457513046 Guitar Hanna Pediatrics 1080 Mount Bachelor Dr, Bend, OR 97702-3280 2008-06-25
1437279577 Jennifer Blake Schroeder Pediatrics 1080 Mount Bachelor Dr, Bend, OR 97702-3280 2007-03-30
1104972710 Michelle R Mills Pediatrics 1080 Mount Bachelor Dr, Bend, OR 97702-3280 2007-01-26
1265534242 Cindy Anne Shuman Physician Assistant 1080 Mount Bachelor Dr, Bend, OR 97702-3280 2006-09-01
1215048715 Jeffrey P Boggess Family Medicine 1080 Mount Bachelor Dr, Bend, OR 97702-3280 2006-08-31
1245343870 Jennifer S. Griswold Nurse Practitioner 1080 Mount Bachelor Dr, Bend, OR 97702-3280 2006-08-17
1801909791 Kathleen L.s. Broadman Pediatrics 1080 Mount Bachelor Dr, Bend, OR 97702-3280 2006-08-16

Providers in the same zip code

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 Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1962041707 Shift Bend Functional Medicine Family Medicine 151 Sw Shevlin Hicks Dr, Suite #1, Bend, OR 97702 2019-12-26
1083252472 Driven Enterprises PC Family Medicine 20700 Wandalea Dr, Bend, OR 97701-1594 2019-12-16
1407404668 Taylor Rose Stockton Family Medicine 19700 Sunshine Way, Bend, OR 97702-1984 2019-08-30
1366780066 Anthony Gunsul Family Medicine 61250 Se Coombs Place, Bend, OR 97702 2013-01-30
1669776050 Ralph Verlin Litchfield Family Medicine 21260 Bear Creek Rd, Bend, OR 97701-9602 2010-12-29
1750681391 Kevin Michael Fickenscher Sr. Family Medicine 3499 Nw Braid Drive, Bend, OR 97701-8682 2010-10-29
1902030844 Audrey H Davey Family Medicine 18976 Nw Squirreltail Loop, Bend, OR 97703-5932 2009-05-06
1366609422 Jon Arthur Blackman Family Medicine 2456 Nw Sacagawea Ln, Bend, OR 97701-5722 2008-05-16
1316060163 West Bend Family Medicine Family Medicine 2855 Nw Crossing Dr., Suite 102, Bend, OR 97703 2007-04-09
1962544106 Paul Vancamp Family Medicine 115 Sw Allen Rd, Bend, OR 97702-3170 2007-02-13
Find all providers in BEND

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City BEND
Zip Code 97702

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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