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
—
—
Other
Enumeration date
01/02/2024
Last updated
01/02/2024
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