Organization
ADVANCED MOBILITY OF BEND, LLC
Active
Organization
ADVANCED MOBILITY OF BEND, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA L. CUMMINS (OWNER)
(541) 382-6016
Entity
Organization
Contact information
Practice address
1045 NE 3RD ST, BEND, OR 97701-4526
(541) 382-6016
(541) 382-2987
Mailing address
1045 NE 3RD ST, BEND, OR 97701-4526
(541) 382-6016
(541) 382-2987
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
07-00000460
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0208047
L&I
WA
05
—
278144
—
OR
Enumeration date
07/15/2006
Last updated
07/25/2008
Update your record
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