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Organization

BEND MEMORIAL CLINIC PC

Active
Parent organization
BEND MEMORIAL CLINIC PC DBA SUMMIT HEALTH
Other names
Bend Memorial Clinic PC dba Summit Health
Organization subpart
Yes

Provider details

NPI number
Legal business name
BEND MEMORIAL CLINIC PC DBA SUMMIT HEALTH
Authorized official
JESSIE DOVER (CREDENTIALING COORDINATOR)
(541) 706-2495
Entity
Organization

Contact information

Practice address
1501 NE MEDICAL CENTER DR, BEND, OR 97701-6051
(541) 382-2811
Mailing address
1501 NE MEDICAL CENTER DR, BEND, OR 97701-6099
(541) 382-2811

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
213243
OR
Enumeration date
10/01/2019
Last updated
04/14/2023
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