Individual
KEVIN E SHERER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1501 NE MEDICAL CENTER DR, BEND, OR 97701-6051
(541) 382-2811
Mailing address
PO BOX 6048, BEND, OR 97708-6048
(541) 382-2811
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
D0062377
MD
207RP1001X
Pulmonary Disease Physician
D0062377
MD
207RP1001X
Pulmonary Disease Physician
Primary
MD156626
OR
207RS0012X
Sleep Medicine (Internal Medicine) Physician
MD156626
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
13457314
—
NM
01
—
202015449
PRESBYTERIAN
NM
05
—
500648257
—
OR
01
—
NM001P14
BCBS OF NM
NM
01
—
P00394018
RR MEDICARE
—
01
—
R179588
MEDICARE
OR
Enumeration date
10/20/2005
Last updated
03/29/2021
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