Organization
NORTHWEST MEDICAL SPECIALIST LLC
Active
Other names
NW Brain and Spine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENT YUNDT MD (MEDICAL DIRECTOR)
(541) 585-2400
Entity
Organization
Contact information
Practice address
2115 NE WYATT CT, SUITE #201, BEND, OR 97701-7678
(541) 585-2400
(541) 585-2407
Mailing address
2115 NE WYATT CT, SUITE #201, BEND, OR 97701-7678
(541) 585-2400
(541) 585-2407
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
08/08/2006
Last updated
04/09/2019
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