Individual
ANN L CLEMENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1501 NE MEDICAL CENTER DR, BEND, OR 97701-6051
(541) 382-2811
Mailing address
PO BOX 6048, BEND, OR 97708-6048
(541) 382-4900
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD152338
OR
207Q00000X
Family Medicine Physician
MD2004-0477
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00936662
MEDICARE RAILROAD
OR
05
—
500624767
—
OR
05
—
54578833
—
NM
Enumeration date
10/03/2006
Last updated
01/10/2022
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