| West Bend Family Medicine | |
|
2855 Nw Crossing Dr. Suite 102 Bend OR 97703 | |
| (541) 383-8066 | |
| Not Available |
| Full Name | West Bend Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 2855 Nw Crossing Dr., Bend, Oregon |
| Authorized Official Name and Position | Matthew Rode (MANAGER) |
| Authorized Official Contact | 5413838066 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| West Bend Family Medicine 2855 Nw Crossing Dr Suite 102 Bend OR 97703-7049 Ph: (541) 383-8066 | West Bend Family Medicine 2855 Nw Crossing Dr. Suite 102 Bend OR 97703 Ph: (541) 383-8066 |
| NPI Number | 1316060163 |
|---|---|
| Provider Enumeration Date | 04/09/2007 |
| Last Update Date | 11/17/2015 |
| Medicare PECOS PAC ID | 0143311225 |
|---|---|
| Medicare Enrollment ID | O20070802000754 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316060163 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Matthew Rode |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477559383 PECOS PAC ID: 4789627134 Enrollment ID: I20050607000112 |
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