Active NPI 1831200740 Individual Practitioner Male Practitioner

Dr. Timothy L Beard , MD

Surgery • Bend, OR

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Timothy Beard, MD is a certified Surgery practicing in Bend, OR. With approximately 32 years of clinical experience since graduating from University Of Wisconsin School Of Medicine in 1994, Dr. Beard delivers high-quality medical care to the local community at 1501 NE MEDICAL CENTER DR.

Dr. Beard is affiliated with Bend Memorial Clinic Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include ultrasound of both sides of head and neck blood flow, new patient outpatient office visit, ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1501 Ne Medical Center Dr

Bend, OR 977016051

Telephone 5413822811

Associated Practice Facility / Clinic

🏢 Bend Memorial Clinic Llp Facility NPI 1174581060

Medicare Profile & Education

Medical School

University Of Wisconsin School Of Medicine

Graduation Year

1994

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Bend, OR

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

32 Yrs +10.5 yrs vs City Avg

City Avg: 21.5 Yrs

State Avg: 23.3 Yrs

Regional Practice Density

25 Specialists

Practicing in Bend, OR (555 Statewide)

Telehealth Adoption Rate

4.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

77.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Beard (32 Years) 32 Yrs

Bend Specialty Average (21.5 Years) 21.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93880 Ultrasound of both sides of head and neck blood flow	153	152	$647.00	$187.67
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	98	98	$575.71	$164.10
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	89	83	$389.00	$118.03
99213 Established patient office or other outpatient visit, typically 15 minutes	79	62	$255.86	$89.25
49505 Repair of groin hernia (5 years or older)	40	40	$1987.95	$529.82
76706 Ultrasound scan of abdominal aorta	26	26	$389.62	$106.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	21	$366.14	$126.72
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	21	21	$606.00	$178.11
91010 Study of esophagus to assess movement	17	17	$613.00	$219.43
93975 Complete ultrasound of abdomen and pelvis artery and vein blood flow	16	16	$895.00	$262.11
93922 Ultrasound study of arm and leg arteries	16	16	$277.00	$80.29
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$379.80	$109.86
49593 Initial repair of sliding hernia of abdomen, 3-10 cm in length	14	14	$2067.00	$528.42
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	13	13	$3736.00	$292.09
47562 Removal of gallbladder using an endoscope	13	13	$2313.00	$636.53
93970 Ultrasound study of arm or leg veins with compression and maneuvers	12	12	$627.00	$185.53
11606 Removal of cancer skin growth of body, arms, or legs, more than 4.0 cm	11	11	$1568.00	$236.05
76937 Ultrasonic guidance for blood vessel access	11	11	$49.36	$13.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93880 Ultrasound of both sides of head and neck blood flow	148	148	$647.00	$186.97
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	115	115	$530.00	$162.12
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	83	73	$389.00	$116.91
99213 Established patient office or other outpatient visit, typically 15 minutes	77	61	$239.00	$86.13
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	51	41	$145.00	$55.15
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	41	41	$348.00	$108.91
49505 Repair of groin hernia (5 years or older)	35	35	$1880.23	$506.57
91010 Study of esophagus to assess movement	29	29	$613.00	$217.99
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	25	13	$236.00	$77.08
76706 Ultrasound scan of abdominal aorta	20	20	$364.00	$105.38
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	19	$351.00	$124.76
93970 Ultrasound study of arm or leg veins with compression and maneuvers	18	18	$627.00	$184.91
93922 Ultrasound study of arm and leg arteries	17	17	$277.00	$78.22
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	16	15	$606.00	$174.41
11606 Removal of cancer skin growth of body, arms, or legs, more than 4.0 cm	15	11	$1568.00	$252.72
93975 Complete ultrasound of abdomen and pelvis artery and vein blood flow	15	15	$895.00	$261.36
43281 Repair of hernia of muscle at esophagus and stomach using an endoscope	14	13	$5428.00	$1429.83
91038 Prolonged monitoring and recording of esophageal function through nasal tube with electrode	12	12	$1426.00	$402.77
76937 Ultrasonic guidance for blood vessel access	11	11	$48.00	$13.61
49593 Initial repair of sliding hernia of abdomen, 3-10 cm in length	11	11	$2067.00	$540.84
47562 Removal of gallbladder using an endoscope	11	11	$2313.00	$599.14
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	11	11	$3736.00	$316.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93880 Ultrasound of both sides of head and neck blood flow	128	128	$647.00	$187.33
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	105	105	$530.00	$158.09
99213 Established patient office or other outpatient visit, typically 15 minutes	84	65	$239.00	$87.41
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	76	69	$389.00	$117.10
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	72	72	$348.00	$108.75
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	56	52	$116.00	$51.05
49505 Repair of groin hernia (5 years or older)	45	45	$1868.62	$497.37
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	44	29	$145.00	$54.89
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r	39	38	$200.00	$73.69
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within	39	38	$50.00	$24.56
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	31	14	$236.00	$68.70
91010 Study of esophagus to assess movement	27	27	$613.00	$224.09
93970 Ultrasound study of arm or leg veins with compression and maneuvers	25	24	$627.00	$186.61
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	24	$351.00	$125.21
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	24	24	$3736.00	$293.60
76937 Ultrasonic guidance for blood vessel access	15	15	$48.00	$13.37
49585 Repair of hernia at navel (5 years or older)	15	14	$1562.00	$372.58
47562 Removal of gallbladder using an endoscope	15	15	$2313.00	$632.23
46600 Diagnostic examination of the anus using an endoscope	15	14	$332.00	$119.84
43281 Repair of hernia of muscle at esophagus and stomach using an endoscope	12	12	$5428.00	$1377.59
93975 Complete ultrasound of abdomen and pelvis artery and vein blood flow	12	12	$895.00	$264.04
93923 Complete ultrasound study of arm and leg arteries	11	11	$429.00	$116.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93880 Ultrasound of both sides of head and neck blood flow	139	139	$647.00	$194.34
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	138	119	$389.00	$120.54
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	120	113	$169.22	$51.31
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	112	112	$530.00	$164.01
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	79	79	$348.00	$109.43
99213 Established patient office or other outpatient visit, typically 15 minutes	71	62	$239.00	$89.40
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	47	41	$145.00	$54.99
91010 Study of esophagus to assess movement	43	43	$613.00	$216.05
93970 Ultrasound study of arm or leg veins with compression and maneuvers	38	38	$627.00	$191.90
93975 Complete ultrasound of abdomen and pelvis artery and vein blood flow	30	30	$895.00	$271.95
49505 Repair of groin hernia (5 years or older)	26	26	$1933.46	$518.67
91038 Prolonged monitoring and recording of esophageal function through nasal tube with electrode	20	20	$1426.00	$442.99
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	18	$351.00	$126.97
93923 Complete ultrasound study of arm and leg arteries	17	17	$429.00	$106.83
93924 Ultrasound study of arteries of both legs at rest and exercise	16	16	$530.00	$158.00
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	15	15	$3736.00	$301.94
49568 Placement of mesh to repair incisional or abdominal hernia	14	13	$942.00	$254.51
46600 Diagnostic examination of the anus using an endoscope	14	13	$332.00	$118.91
76706 Ultrasound scan of abdominal aorta	13	13	$364.00	$108.09
76937 Ultrasonic guidance for blood vessel access	13	13	$48.00	$13.62
49560 Repair of incisional or abdominal hernia	13	12	$2593.00	$682.94
36415 Insertion of needle into vein for collection of blood sample	13	11	$7.00	$3.00
47562 Removal of gallbladder using an endoscope	11	11	$2313.00	$606.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	142	142	$530.00	$160.15
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	124	106	$389.00	$118.81
93880 Ultrasound of both sides of head and neck blood flow	110	110	$647.00	$195.32
99213 Established patient office or other outpatient visit, typically 15 minutes	85	68	$239.00	$74.07
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	65	65	$348.00	$105.18
91010 Study of esophagus to assess movement	51	51	$613.00	$200.09
49505 Repair of groin hernia (5 years or older)	45	45	$1848.31	$515.88
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	34	34	$351.00	$107.63
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	34	29	$145.00	$43.63
91038 Prolonged monitoring and recording of esophageal function through nasal tube with electrode	31	31	$1426.00	$435.51
93975 Complete ultrasound of abdomen and pelvis artery and vein blood flow	26	26	$895.00	$273.11
93970 Ultrasound study of arm or leg veins with compression and maneuvers	24	23	$627.00	$192.61
46600 Diagnostic examination of the anus using an endoscope	22	22	$332.00	$102.24
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	21	20	$177.81	$51.31
46221 Removal of external hemorrhoids by rubber banding	19	18	$950.00	$273.02
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	18	18	$3736.00	$338.37
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	17	17	$91.00	$35.33
93923 Complete ultrasound study of arm and leg arteries	15	15	$429.00	$115.79
76706 Ultrasound scan of abdominal aorta	14	14	$364.00	$112.35
47562 Removal of gallbladder using an endoscope	12	12	$2313.00	$580.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	163	163	$529.91	$161.89
93880 Ultrasound of both sides of head and neck blood flow	131	130	$647.00	$197.78
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	118	104	$388.93	$118.83
99213 Established patient office or other outpatient visit, typically 15 minutes	102	86	$239.00	$72.97
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	99	99	$348.00	$105.79
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	89	79	$145.00	$44.51
49505 Repair of groin hernia (5 years or older)	40	40	$1873.70	$508.55
91010 Study of esophagus to assess movement	39	39	$612.95	$188.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	31	$351.00	$104.80
46600 Diagnostic examination of the anus using an endoscope	28	27	$332.00	$94.75
93975 Complete ultrasound of abdomen and pelvis artery and vein blood flow	25	25	$894.96	$274.85
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	24	24	$3736.00	$329.75
47562 Removal of gallbladder using an endoscope	23	23	$2343.17	$645.55
76937 Ultrasonic guidance for blood vessel access	22	22	$47.91	$13.83
93970 Ultrasound study of arm or leg veins with compression and maneuvers	21	21	$626.86	$192.43
36415 Insertion of needle into vein for collection of blood sample	20	19	$7.00	$2.94
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	19	19	$606.00	$180.31
76706 Ultrasound scan of abdominal aorta	18	18	$364.00	$111.73
93923 Complete ultrasound study of arm and leg arteries	18	18	$428.94	$120.99
91038 Prolonged monitoring and recording of esophageal function through nasal tube with electrode	18	17	$1426.00	$438.10
93922 Ultrasound study of arm and leg arteries	15	15	$276.93	$72.91
46221 Removal of external hemorrhoids by rubber banding	15	14	$950.00	$270.87
49560 Repair of incisional or abdominal hernia	14	13	$2593.00	$713.47
49568 Placement of mesh to repair incisional or abdominal hernia	13	12	$942.00	$268.69
43281 Repair of hernia of muscle at esophagus and stomach using an endoscope	11	11	$5428.00	$1548.87
93924 Ultrasound study of arteries of both legs at rest and exercise	11	11	$530.00	$162.68
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	11	11	$1533.00	$278.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	149	149	$510.40	$158.10
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	121	104	$367.56	$117.58
93880 Ultrasound of both sides of head and neck blood flow	119	119	$618.71	$197.23
99213 Established patient office or other outpatient visit, typically 15 minutes	90	76	$224.40	$70.41
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	71	55	$134.20	$42.38
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	69	69	$332.20	$104.26
49505 Repair of groin hernia (5 years or older)	32	32	$1624.70	$479.99
93970 Ultrasound study of arm or leg veins with compression and maneuvers	31	29	$602.55	$190.31
91010 Study of esophagus to assess movement	28	28	$546.70	$170.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	28	28	$331.10	$105.45
46600 Diagnostic examination of the anus using an endoscope	27	23	$275.00	$87.48
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	27	25	$696.30	$181.71
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	22	22	$3679.50	$313.02
76706 Ultrasound scan of abdominal aorta	19	19	$286.72	$92.08
36415 Insertion of needle into vein for collection of blood sample	18	17	$9.00	$2.94
93975 Complete ultrasound of abdomen and pelvis artery and vein blood flow	18	18	$1111.00	$277.61
46221 Removal of external hemorrhoids by rubber banding	16	14	$836.00	$265.10
47562 Removal of gallbladder using an endoscope	16	16	$2094.45	$648.48
93923 Complete ultrasound study of arm and leg arteries	15	14	$430.10	$127.75
49560 Repair of incisional or abdominal hernia	15	14	$2304.50	$655.48
49585 Repair of hernia at navel (5 years or older)	14	14	$1387.10	$359.99
93922 Ultrasound study of arm and leg arteries	14	14	$273.90	$78.12
91038 Prolonged monitoring and recording of esophageal function through nasal tube with electrode	14	14	$1400.30	$437.94
49568 Placement of mesh to repair incisional or abdominal hernia	11	11	$839.30	$229.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	128	128	$332.20	$103.79
93880 Ultrasound of both sides of head and neck blood flow	98	98	$614.85	$193.22
93922 Ultrasound study of arm and leg arteries	79	78	$273.90	$71.33
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	74	54	$134.20	$42.29
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	69	67	$366.21	$116.53
99213 Established patient office or other outpatient visit, typically 15 minutes	58	49	$224.40	$70.36
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	53	53	$696.30	$178.30
99202 New patient office or other outpatient visit, typically 20 minutes	48	48	$228.80	$71.85
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	39	39	$510.40	$159.33
49505 Repair of groin hernia (5 years or older)	37	37	$1668.61	$515.16
93926 Ultrasound of one leg arteries or artery grafts	29	28	$464.59	$129.38
93970 Ultrasound study of arm or leg veins with compression and maneuvers	28	27	$597.65	$191.05
46600 Diagnostic examination of the anus using an endoscope	26	24	$275.00	$86.04
93975 Complete ultrasound of abdomen and pelvis artery and vein blood flow	21	21	$1111.00	$271.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	20	$331.10	$104.62
46221 Removal of external hemorrhoids by rubber banding	18	15	$836.00	$261.45
93925 Ultrasound of leg arteries or artery grafts	17	17	$762.90	$251.02
76706 Ultrasound scan of abdominal aorta	16	16	$286.72	$90.80
91010 Study of esophagus to assess movement	15	15	$546.70	$170.51
49560 Repair of incisional or abdominal hernia	11	11	$2367.35	$688.54
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	11	11	$3679.50	$320.14

Medical Specialties & State Licenses

CMS Verified: 2021-01-29

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License OR MD21626

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Specialist

NUCC Taxonomy Code: 174400000X

State License OR MD21626

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

139379 (OR)

Commercial Insurance / Payer ID Medicare Railroad

00834450 (OR)

Commercial Insurance / Payer ID Railroad

020041750 (OR)

Hospital & Practice Group Affiliations

Bend Memorial Clinic Pc

1501 Ne Medical Ctr Dr, Bend, OR 977016051

Phone: 5413822811

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Jonathan Mcfadyen , NP

Nurse Practitioner

NPI 1003136334

Nurse Practitioner

Dr. Edward Tarbet , MD

Family Medicine

NPI 1003845330

Doctor of Medicine (M.D.)

Tonya Koopman , NP

Nurse Practitioner - Family

NPI 1013006931

Nurse Practitioner

Dr. Scott O'connor , MD

Ophthalmology

NPI 1013924513

Doctor of Medicine (M.D.)

Dr. Michael Harris , MD

Internal Medicine

NPI 1023047503

Doctor of Medicine (M.D.)

Dr. Rick Goldstein , MD

Specialist

NPI 1023129913

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active April 11, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location April 11, 2013

Registered at 1501 NE MEDICAL CENTER DR, BEND, OR 977016051 (Tel: 5413822811)

📍

Updated Business Mailing Address April 11, 2013

Registered at 1501 NE MEDICAL CENTER DR, BEND, OR 977016051 (Tel: 5413822811)

👤

Provider Name / Credentials Updated April 11, 2013

Recorded as TIMOTHY BEARD, M.D,

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 11, 2013

Specialist (License #MD21626 in OR)

🟢

Initial NPI Registration & Enumeration August 31, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1831200740

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 31, 2006

Last Update: January 29, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1501 Ne Medical Center Dr

Bend, OR 977016051

Phone: 5413822811

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

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