# ENDOCRINOLOGY SERVICES NORTHWEST, LLC

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

## Provider details

- **NPI number:** 1952556490
- **Authorized official:** DANIEL MICHAEL MCCARTHY (MANAGER)
- **Authorized official phone:** (541) 815-1409

## Contact information

- **Practice address:** 2084 NE PROFESSIONAL CT, BEND, OR 97701-6077
- **Practice address phone:** (541) 317-5600
- **Practice address fax:** (541) 317-5676
- **Mailing address:** PO BOX 490, BEND, OR 97709-0490
- **Mailing address phone:** (541) 330-2641
- **Mailing address fax:** (541) 388-3832

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | MD26567 | OR | Yes |
| 207UN0902X | Nuclear Imaging & Therapy Physician | MD26567 | OR | — |

## Other

- **Enumeration date:** 11/25/2008
- **Last updated:** 11/17/2010