Organization
PINE SPRINGS HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIVYA SHARMA (OWNER)
(541) 480-2807
Entity
Organization
Contact information
Practice address
711 NE IRVING AVE, BEND, OR 97701-4738
(541) 330-9110
Mailing address
711 NE IRVING AVE, BEND, OR 97701-4738
(541) 330-9110
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500830385
—
OR
Enumeration date
07/24/2023
Last updated
12/06/2024
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