PREMISE HEALTH OF OREGON MEDICAL PC
NPI 1891450003
Clinic/Center - Multi-Specialty in Bend, OR

Active since November 02, 2021CLIA 38D2070191 · Waiver
63360 BRITTA ST STE 1, BEND, OR 97703(541) 322-7639 Get Directions Write a Review

NPPES record last updated: February 5, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 5, 2026, Oct 13, 2022, Nov 2, 2021 (3 updates tracked since 2021).

About Premise Health Of Oregon Medical Pc NPPES

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

PREMISE HEALTH OF OREGON MEDICAL PC (NPI 1891450003), doing business as Deschutes Juvenile Detention Center Clinic, is a healthcare organization registered as a multi-specialty in Bend, Oregon and active in the NPI registry since November 2021. The organization holds a CLIA Waiver certificate valid through December 9, 2027 and lists Edward William Schwartz, President, as its authorized official.

NPPES Registry Identity

NPI1891450003
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NamePREMISE HEALTH OF OREGON MEDICAL PC
Location Address63360 BRITTA ST STE 1Bend, OR 97703-9475
Mailing Address5500 Maryland Way Ste 120Brentwood, TN 37027-4993
Organization SubpartNo
Authorized OfficialEdward William SchwartzPresident · (844) 407-7557
Enumeration DateNovember 2, 2021
Last NPPES UpdateFebruary 5, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 5, 2026
NPI 1891450003 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
63360 BRITTA ST STE 1, Bend, OR 97703

Other Names 1

Doing Business AsDeschutes Juvenile Detention Center Clinic

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 38D2070191

Premise Health Of Oregon Medical, PC Dba Deschutes Juvenile Detention Center Clinic · Bend, OR
Active · expires Dec 9, 2027
CLIA Number38D2070191
Laboratory TypePhysician Office
Certificate Effective DateDecember 10, 2025
Certificate Expiration DateDecember 9, 2027
Laboratory DirectorEdward Palmer
Laboratory Phone(541) 322-7639
Laboratory LocationPremise Health Of Oregon Medical, PC Dba Deschutes Juvenile Detention Center Clinic63360 Britta Street Bldg 1, Bend, OR 97701
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

Counselor
63360 BRITTA ST STE 1
BEND, OR 97703
Counselor (Mental Health)
63360 BRITTA ST STE 1
BEND, OR 97703

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 Premise Health Of Oregon Medical PC's NPI number?

The NPI number for Premise Health Of Oregon Medical PC is 1891450003. It was assigned to this organization in the NPPES registry on November 2, 2021. The provider is doing business as Deschutes Juvenile Detention Center Clinic.

Where is Premise Health Of Oregon Medical PC located?

Premise Health Of Oregon Medical PC is located at 63360 Britta St Ste 1, Bend, OR 97703. The listed phone number is (541) 322-7639.

What is Premise Health Of Oregon Medical PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Does Premise Health Of Oregon Medical PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D2070191) is associated with this NPI, valid through December 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Premise Health Of Oregon Medical PC was last updated on February 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.