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Organization
HIGH DESERT SPORTS AND SPINE, LLC
Active
Organization
HIGH DESERT SPORTS AND SPINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD JOSEPH KENT MD (OWNER)
(208) 500-8667
Entity
Organization
Contact information
Practice address
1140 SW SIMPSON AVE STE 100, BEND, OR 97702-3789
(541) 388-2333
(541) 388-0930
Mailing address
1140 SW SIMPSON AVE STE 100, BEND, OR 97702-3789
(541) 388-2333
(541) 388-0930
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
NULL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
—
NULL
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
NULL
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
Other
Enumeration date
02/05/2024
Last updated
01/28/2026
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