# BEND MEMORIAL CLINIC PC

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

## Provider details

- **NPI number:** 1851616692
- **Authorized official:** GREGORY HAGFORS (CEO)
- **Authorized official phone:** (541) 706-5401

## Contact information

- **Practice address:** 231 E CASCADE AVE, SISTERS, OR 97759-1140
- **Practice address phone:** (541) 549-0303
- **Mailing address:** 1501 NE MEDICAL CENTER DR, BEND, OR 97701-6051
- **Mailing address phone:** (541) 382-2811

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/05/2010
- **Last updated:** 01/31/2012