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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