| Shift Bend Functional Medicine | |
|
151 Sw Shevlin Hicks Dr Suite #1 Bend OR 97702 | |
| (541) 219-1910 | |
| Not Available |
| Full Name | Shift Bend Functional Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 151 Sw Shevlin Hicks Dr, Bend, Oregon |
| Authorized Official Name and Position | Marie Agnew (OWNER AND MEDICAL PROVIDER) |
| Authorized Official Contact | 5412191910 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shift Bend Functional Medicine 556 Nw Trenton Ave Bend OR 97703-1126 Ph: (541) 219-1910 | Shift Bend Functional Medicine 151 Sw Shevlin Hicks Dr Suite #1 Bend OR 97702 Ph: (541) 219-1910 |
| NPI Number | 1962041707 |
|---|---|
| Provider Enumeration Date | 12/26/2019 |
| Last Update Date | 12/26/2019 |
| Certification Date | 12/26/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962041707 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
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