Organization
BD BEND II LLC
Active
Other names
Pilot Butte Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOUG DEVORE (CFO)
(425) 392-4066
Entity
Organization
Contact information
Practice address
1876 NE HIGHWAY 20, BEND, OR 97701-4833
(541) 382-5531
(541) 383-1684
Mailing address
3326 160TH AVE SE, SUITE 120, BELLEVUE, WA 98008-6418
(425) 392-4066
(425) 623-1517
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1141274094
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500620751
—
OR
05
—
800082
—
OR
Enumeration date
04/23/2007
Last updated
04/22/2015
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