Organization
LUMOS MEDICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REN BEDASBAD ND, L.AC. (MEMBER)
(541) 728-3790
Entity
Organization
Contact information
Practice address
335 NE REVERE AVE, BEND, OR 97701
(541) 728-3790
Mailing address
20472 DEL COCO CT, BEND, OR 97702-9414
(712) 330-5106
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
4040
OR
Other
Enumeration date
08/03/2017
Last updated
06/01/2018
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