# FALL CREEK INTERNAL MEDICINE, LLP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518005222
- **Authorized official:** MS. NITA A HOLLUMS (OFFICE MANAGER)
- **Authorized official phone:** (541) 389-1118

## Contact information

- **Practice address:** 2160 NE WILLIAMSON CT, BEND, OR 97701-3760
- **Practice address phone:** (541) 389-1118
- **Practice address fax:** (541) 389-2662
- **Mailing address:** 2160 NE WILLIAMSON CT, BEND, OR 97701-3760
- **Mailing address phone:** (541) 389-1118
- **Mailing address fax:** (541) 389-2662

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/02/2007
- **Last updated:** 08/22/2020