BEND MEMORIAL CLINIC PC (NPI# 1174847719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174847719 |
| Entity Type | Organization |
| Organization Name | BEND MEMORIAL CLINIC PC |
| Practice Address |
865 Sw Veterans Way Redmond OR 97756-2563 |
| Mailing Address |
1501 Ne Medical Center Dr Bend OR 97701-6051 |
| Practice Telephone | 5413223500 |
| Mailing Telephone | 5413822811 |
| Enumeration Date | 2010-03-25 |
| Last Update Date | 2012-01-31 |
| Authorized Official Name | GREGORY HAGFORS (CEO) |
| Authorized Official Telephone | 5417065401 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207K00000X | Allergy & Immunology | Allopathic & Osteopathic Physicians | ||
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians | ||
| N | 207RN0300X |
Internal Medicine Specialization: Nephrology |
Allopathic & Osteopathic Physicians | ||
| N | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
Allopathic & Osteopathic Physicians | ||
| N | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians | ||
| N | 152W00000X | Optometrist | Eye and Vision Services Providers | ||
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
Allopathic & Osteopathic Physicians | ||
| N | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
Allopathic & Osteopathic Physicians | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 213243 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447535075 | Bend Memorial Clinic PC | Emergency Medicine | 13000 Sw Century Drive, Bend, OR 97702 | 2011-10-14 |
| 1912169699 | Bend Memorial Clinic PC | Specialist | 1541 Nw Canal Blvd, Redmond, OR 97756-1341 | 2008-06-25 |
| 1972144913 | Bend Memorial Clinic PC | Clinical Medical Laboratory | 1501 Ne Medical Center Dr, Bend, OR 97701-6051 | 2019-10-01 |
| 1851616692 | Bend Memorial Clinic PC | Family Medicine | 231 E Cascade Ave, Sisters, OR 97759-1140 | 2010-04-05 |
| 1689800773 | Bend Memorial Clinic PC | Ophthalmology | 1080 Mount Bachelor Dr, Bend, OR 97702-3280 | 2009-06-03 |
| 1780846501 | Bend Memorial Clinic PC | Dermatology | 2600 Ne Neff Rd, Bend, OR 97701-6337 | 2008-07-02 |
| 1699827477 | Bend Memorial Clinic PC | Dermatology | 1501 Ne Medical Center Dr, Bend, OR 97701-6051 | 2007-01-18 |
| Street Address |
865 SW VETERANS WAY |
| City | REDMOND |
| State | OR |
| Zip Code | 97756-2563 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003905027 | Alan C Hilles | Family Medicine | 865 Sw Veterans Way, Redmond, OR 97756-2583 | 2006-10-11 |
| 1871064493 | Melina Maria Moran | Nurse Practitioner | 865 Sw Veterans Way, Redmond, OR 97756-2583 | 2018-12-07 |
| 1841365335 | Sadie Ruth Arrington | Family Medicine | 865 Sw Veterans Way, Redmond, OR 97756-2583 | 2006-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679083349 | Vicki Rae Morris | Foster Care Agency | 3585 Sw 35th St., Redmond, OR 97756 | 2017-10-06 |
| 1275066417 | Norco, Inc | Durable Medical Equipment & Medical Supplies | 655 Nw Jackpine Ave, Redmond, OR 97756 | 2017-04-05 |
| 1750778015 | Kelly Gobler | Occupational Therapy Assistant | 3000 Sw 32nd Street, The Heights Assisted Living, Redmond, OR 97756 | 2015-04-23 |
| 1912303934 | Andrea Adams | Pharmacist | 944 Sw Veterans Way, Redmond, OR 97756 | 2014-11-18 |
| 1649670365 | Advantage Dental Clinics LLC | Dentist | 442 Sw Umatilla Ave., Suite 200, Redmond, OR 97756 | 2014-08-29 |
| 1760891832 | Elizabeth Mae Smith | Counselor | 2659 Sw 4th St Ste 102, Redmond, OR 97756 | 2014-08-04 |
| 1700296837 | Heather A Ahlf | Physician Assistant | 1245 Nw Canal Blvd, Redmond, OR 97756 | 2014-04-29 |
| 1306289277 | Asa Racquel Aramburo | Social Worker | 203 Sw 8th St., Redmond, OR 97756 | 2013-04-10 |
| 1427396969 | Alison Elizabeth Jackson | Pharmacist | 944 Sw 9th Street, Redmond, OR 97756 | 2013-01-17 |
| 1083964449 | Julie C Plachta | Mechanotherapist | 654 Nw 4th Street, Redmond, OR 97756 | 2012-09-13 |
| Find all providers in zip 97756 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356882369 | Jim Mccauley Md PC | Family Medicine | 427 Tanager Dr, Redmond, OR 97756-8389 | 2017-03-10 |
| 1376949248 | Dhirendra Md Pllc | Family Medicine | 4018 166th Ave Ne, Redmond, WA 98052-5400 | 2014-11-05 |
| 1629484464 | Jordan Mark Collier | Family Medicine | 8980 161st Ave Ne Ste 400, Redmond, WA 98052-7554 | 2014-07-01 |
| 1023440658 | Lisa A. Steffey, D.o., L.L.C. | Family Medicine | 2990 Sw 83rd St, Redmond, OR 97756-8237 | 2013-08-06 |
| 1861767881 | Richard Allyn Kuehn | Family Medicine | 2635 Nw Canyon Dr, Redmond, OR 97756-1115 | 2012-03-09 |
| 1356594881 | Vinutha Purohith | Family Medicine | 4850 156th Ave Ne, Apt 345, Redmond, WA 98052-9662 | 2008-10-28 |
| 1376706739 | Trieu Thuy Le | Family Medicine | 18100 Ne Union Hill Rd Ste 200, Redmond, WA 98052-3330 | 2008-07-07 |
| 1043337918 | Swapna J Bobba | Family Medicine | 17670 Ne 121st Ct, Redmond, WA 98052-2670 | 2007-03-23 |
| 1700942323 | Ruth T Emerson | Family Medicine | 2701 156th Ave Ne, Redmond, WA 98052-5513 | 2006-12-28 |
| 1104985951 | Roberto Carlos Barcelona Collantes | Family Medicine | 17209 Redmond Way, Redmond, WA 98052-4404 | 2006-12-07 |
| Find all providers in REDMOND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.