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Organization
BEND MEMORIAL CLINIC, PC
Active
Organization
BEND MEMORIAL CLINIC, PC
Active
Other names
Summit Health Physician Dispensary
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL EDMUND MASSINE MD (CHIEF PHYSICIAN EXECUTIVE)
(541) 382-2811
Entity
Organization
Contact information
Practice address
1501 NE MEDICAL CENTER DR, BEND, OR 97701-6099
(541) 382-2811
Mailing address
1501 NE MEDICAL CENTER DR, BEND, OR 97701-6099
(541) 382-2811
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
NULL
Other
Enumeration date
01/02/2024
Last updated
01/02/2024
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