LUMOS MEDICAL CENTER LLC (NPI# 1700301447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700301447 |
| Entity Type | Organization |
| Organization Name | LUMOS MEDICAL CENTER LLC |
| Practice Address |
335 Ne Revere Ave Bend OR 97701 |
| Mailing Address |
20472 Del Coco Ct Bend OR 97702-9414 |
| Practice Telephone | 5417283790 |
| Mailing Telephone | 7123305106 |
| Enumeration Date | 2017-08-03 |
| Last Update Date | 2018-06-01 |
| Authorized Official Name | DR. REN BEDASBAD (MEMBER) |
| Authorized Official Telephone | 5417283790 |
| Authorized Official Credential | ND, L.AC. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
4040 | OR | Ambulatory Health Care Facilities |
| Street Address |
335 NE REVERE AVE |
| City | BEND |
| State | OR |
| Zip Code | 97701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336128255 | Kirt Edward Kirchmeier | Dentist | 335 Ne Revere Ave, Bend, OR 97701-4082 | 2006-01-10 |
| 1326685868 | Katherine Manni Lui | Acupuncturist | 335 Ne Revere Ave, Bend, OR 97701-4059 | 2019-12-03 |
| 1558830091 | Kelcie Harris | Naturopath | 335 Ne Revere Ave, Bend, OR 97701-4059 | 2018-11-14 |
| 1316422090 | Leighanna Louise Jagels | Naturopath | 335 Ne Revere Ave, Bend, OR 97701-4059 | 2018-09-28 |
| 1427544758 | Christina Leilani Haywood | Acupuncturist | 335 Ne Revere Ave, Bend, OR 97701-4059 | 2018-07-10 |
| 1003327925 | Thriving Families LLC | Clinic/Center | 335 Ne Revere Ave, Bend, OR 97701-4059 | 2017-10-18 |
| 1922406792 | Christy Sabrina Bedasbad | Acupuncturist | 335 Ne Revere Ave, Bend, OR 97701-1167 | 2014-12-10 |
| 1477793800 | Timm Family Dental | Dentist | 335 Ne Revere Ave, Bend, OR 97701-4059 | 2009-02-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104465525 | Andrew Kyle Burzynski | Denturist | 853 Ne 4th St., Bend, OR 97701 | 2020-01-02 |
| 1013480714 | Andrew Traut | Specialist/Technologist | Oregon State Force Lab, 2200 Ne Neff Rd Suite 202, Bend, OR 97701 | 2019-01-04 |
| 1871063917 | Calley Asbill, Nd LLC | Chiropractor | 2146 Ne 4th Street, Suite 160, Bend, OR 97701 | 2018-12-02 |
| 1902372212 | Carisa S Battin | Counselor | 361 Ne Franklin Avenue Bldg E #4, Bend, OR 97701 | 2018-10-15 |
| 1366921223 | Hillside Eye Center LLC | Ophthalmology | 625 Nw Colorado Avenue, Bend, OR 97701 | 2018-08-11 |
| 1528545514 | Kellie Michiko Kawasaki-jones | Dentist | 62968 Ob Riley Road, Suite 12, Bend, OR 97701 | 2018-07-23 |
| 1992255327 | Shelby Chiropractic | Chiropractor | 561 Ne Bellevue Dr Ste 102, Bend, OR 97701 | 2016-10-10 |
| 1144671520 | Kevin Richard Pett | Acupuncturist | 39 Nw Louisanna Ave., Hawthorn Healing Arts Center, Bend, OR 97701 | 2016-06-27 |
| 1912357500 | Sheldon Shawn Doveri | Driver | 233 Nw Revere Ave, Bend, OR 97701 | 2016-06-15 |
| 1740647411 | Anne Power | Homeopath | 2100 Ne Neff Rd Suite B, Bend, OR 97701 | 2016-01-26 |
| Find all providers in zip 97701 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477051795 | Hearthside Medicine Family Care LLC | Clinic/Center | 205 Nw Franklin Ave, Bend, OR 97703-2801 | 2018-02-01 |
| 1679941736 | Shanna Geigle | Clinic/Center | 2275 Ne Doctors Dr Ste 1a, Bend, OR 97701 | 2015-09-07 |
| 1639561889 | Functional Medicine of Bend PC | Clinic/Center | 497 Sw Century Dr. #120, Bend, OR 97702 | 2015-02-25 |
| 1164768123 | J.c. Morris, Dc,pc | Clinic/Center | 142 Nw Hawthorne Ave, Bend, OR 97701-2918 | 2012-12-19 |
| 1487129235 | Journey Health, Inc | Clinic/Center | 2955 N Hwy 97, Bend, OR 97703-7559 | 2018-10-09 |
| 1740654086 | Deschutes Family Care, LLC | Clinic/Center | 1345 Nw Wall St, Suite 302, Bend, OR 97703-1972 | 2015-11-24 |
| 1518213149 | Bonnie Jean Skakel | Clinic/Center | 62930 O B Riley Rd, Suite 300, Bend, OR 97701-9458 | 2012-08-01 |
| 1700106986 | Weeks Family Medicine LLC | Clinic/Center | 2564 Ne Courtney Dr, Bend, OR 97701-7700 | 2010-06-10 |
| 1952598138 | Dr Linda Nordhus Dc LLC | Clinic/Center | 1900 Ne Division St, Ste 106, Bend, OR 97701-3525 | 2007-10-01 |
| 1316957129 | Cascade Internal Medicine Specialists,llc | Clinic/Center | 2239 Ne Doctors Dr Ste 200, Bend, OR 97701-7185 | 2006-08-08 |
| Find all providers in BEND | ||||
Please comment or provide details below to improve the information on LUMOS MEDICAL CENTER LLC.
| 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.