WISE MOUNTAIN MEDICINE LLC
NPI 1316512049
Clinic/Center in Bend, OR

Active since May 25, 2021
335 NE REVERE AVE, BEND, OR 97701(541) 238-7285 Get Directions Write a Review

NPPES record last updated: May 25, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Wise Mountain Medicine Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WISE MOUNTAIN MEDICINE LLC (NPI 1316512049) is a healthcare organization registered as a clinic/center in Bend, Oregon and active in the NPI registry since May 2021. The organization lists Carlton Andrew Kelch, Co-owner, as its authorized official.

NPPES Registry Identity

NPI1316512049
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameWISE MOUNTAIN MEDICINE LLC
Location Address335 NE REVERE AVEBend, OR 97701-4059
Mailing Address2150 Nw Hill St Apt 3Bend, OR 97703-1373 · (970) 406-1019
Organization SubpartNo
Authorized OfficialCarlton Andrew KelchCo-owner · (970) 406-1019
Enumeration DateMay 25, 2021
NPPES CertifiedMay 25, 2021
NPI 1316512049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

335 NE REVERE AVE, Bend, OR 97701

Accepted Insurance

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
335 NE REVERE AVE
BEND, OR 97701
Dentist
335 NE REVERE AVE
BEND, OR 97701
Naturopath
335 NE REVERE AVE
BEND, OR 97701
Clinic/Center (Primary Care)
335 NE REVERE AVE
BEND, OR 97701
Acupuncturist
335 NE REVERE AVE
BEND, OR 97701
Acupuncturist
335 NE REVERE AVE
BEND, OR 97701
Naturopath
335 NE REVERE AVE
BEND, OR 97701

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wise Mountain Medicine LLC's NPI number?

The NPI number for Wise Mountain Medicine LLC is 1316512049. It was assigned to this organization in the NPPES registry on May 25, 2021.

Where is Wise Mountain Medicine LLC located?

Wise Mountain Medicine LLC is located at 335 NE Revere Ave, Bend, OR 97701. The listed phone number is (541) 238-7285.

What is Wise Mountain Medicine LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

What insurance does Wise Mountain Medicine LLC accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Wise Mountain Medicine LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Wise Mountain Medicine LLC was last updated on May 25, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.