| Driven Enterprises Pc | |
|
20700 Wandalea Dr Bend OR 97701-1594 | |
| (435) 669-2930 | |
| Not Available |
| Full Name | Driven Enterprises Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 20700 Wandalea Dr, Bend, Oregon |
| Authorized Official Name and Position | Lance Spencer Adams (PHYSICIAN) |
| Authorized Official Contact | 4356692930 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Driven Enterprises Pc 20700 Wandalea Dr Bend OR 97701-1594 Ph: (435) 669-2930 | Driven Enterprises Pc 20700 Wandalea Dr Bend OR 97701-1594 Ph: (435) 669-2930 |
| NPI Number | 1083252472 |
|---|---|
| Provider Enumeration Date | 12/16/2019 |
| Last Update Date | 01/30/2020 |
| Medicare PECOS PAC ID | 5193151249 |
|---|---|
| Medicare Enrollment ID | O20200207001716 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083252472 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Lance Adams |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477936862 PECOS PAC ID: 2769797703 Enrollment ID: I20181213002891 |
| Provider Name | Taylor Garr Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770305484 PECOS PAC ID: 5991231649 Enrollment ID: I20241227000808 |
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