Organization
HIGH DESERT SPORTS AND SPINE, LLC
Active
Organization
HIGH DESERT SPORTS AND SPINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIN BUNCH (DIRECTOR OF CREDENTIALING)
(503) 953-0357
Entity
Organization
Contact information
Practice address
1140 SW SIMPSON AVE STE 100, BEND, OR 97702-3789
(541) 388-2333
(541) 388-0930
Mailing address
PO BOX 1602, LAKE OSWEGO, OR 97035-0562
(503) 953-0357
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
02/23/2026
Last updated
02/23/2026
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