Bend Memorial Clinic Pc

LBN: Bend Memorial Clinic Pc
Bend Memorial Clinic Pc is an health care organization with primary practice located at 2600 Ne Neff Rd , Bend OR 97701-6337. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery. Allopathic & Osteopathic Physicians / Dermatology is the primary health care specialty. Bend Memorial Clinic Pc can be contacted via phone (541) 322-3504, or through Hagfors, Gregory via phone (541) 706-5401.

Contact Information

Primary practice address
2600 Ne Neff Rd Bend OR 97701-6337
Phone: (541) 322-3504
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hagfors, Gregory
Phone: (541) 706-5401

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X

Profile Details

NPI number 1780846501
LBN Legal business name Bend Memorial Clinic Pc
DBA Doing business as
Authorized official Hagfors, Gregory
Entity Organization
Organization subpart 1 No
Enumeration date Jul 2nd, 2008
Last updated Jan 31st, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780846501 NPPES
Oregon MEDICAID 231243

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