Organization
PACIFIC SAGE LLC
Active
Other names
Pacific Sage Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
ANN OTTESEN AGPCNP (NP) (NP, OWNER)
(541) 762-2727
Entity
Organization
Contact information
Practice address
527 NE BELLEVUE DR STE 200, BEND, OR 97701-8744
(541) 640-7243
(541) 645-7243
Mailing address
2660 NE HIGHWAY 20, SUITE 610 #524, BEND, OR 97701
(541) 762-2727
(541) 645-7243
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
10/17/2024
Last updated
10/17/2024
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