Roots Family Medicine Llc

LBN: Roots Family Medicine Llc
Roots Family Medicine Llc is an health care organization with primary practice located at 2275 Ne Doctors Dr Ste 1A , Bend OR 97701. The organization recently has 7 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / General Practice, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Women's Health. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Roots Family Medicine Llc can be contacted via phone (541) 241-2656, or through Geigle, Shanna via phone (503) 475-9650.

Contact Information

Primary practice address
2275 Ne Doctors Dr Ste 1A Bend OR 97701
Phone: (541) 241-2656
Fax: (541) 241-9848
Website:
Map and Directions
Authorized official contact:
Name: Geigle, Shanna Nurse Practitioner (NP)
Phone: (503) 475-9650

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / General Practice 208D00000X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X

Profile Details

NPI number 1437620937
LBN Legal business name Roots Family Medicine Llc
DBA Doing business as
Authorized official Geigle, Shanna Nurse Practitioner (NP)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 9th, 2018
Last updated Apr 8th, 2019 - about 5 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 1437620937 NPPES
Oregon Other 1679941736 PERSONAL

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