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BEND MEMORIAL CLINIC PC
NPI 1912169699
Specialist in Redmond, OR

Active since June 25, 2008
1541 NW CANAL BLVD, REDMOND, OR 97756(541) 382-2811 Get Directions Write a Review

NPPES record last updated: June 8, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bend Memorial Clinic Pc NPPES

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

BEND MEMORIAL CLINIC PC (NPI 1912169699) is a healthcare organization registered as a specialist in Redmond, Oregon and active in the NPI registry since June 2008. The organization lists Marvin Lein, Ceo, as its authorized official.

NPPES Registry Identity

NPI1912169699
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameBEND MEMORIAL CLINIC PC
Location Address1541 NW CANAL BLVDRedmond, OR 97756-1341
Mailing Address1501 Ne Medical Center DrBend, OR 97701-6051 · (541) 382-2811
Phone(541) 382-2811
Organization SubpartNo
Authorized OfficialMarvin LeinCeo · (541) 317-4240
Enumeration DateJune 25, 2008
Last NPPES UpdateJune 8, 2009
✔ NPI 1912169699 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1541 NW CANAL BLVD, Redmond, OR 97756
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Other Identifiers 2

Medicare PIN135696OR
Medicaid213243OR

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

KATHRYN MARIE SHINE FNP
Nurse Practitioner (Family)
1541 NW CANAL BLVD
REDMOND, OR 97756
Deschutes County (541) 706-5800

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 Bend Memorial Clinic PC's NPI number?

The NPI number for Bend Memorial Clinic PC is 1912169699. It was assigned to this organization in the NPPES registry on June 25, 2008.

Where is Bend Memorial Clinic PC located?

Bend Memorial Clinic PC is located at 1541 NW Canal Blvd, Redmond, OR 97756. The listed phone number is (541) 382-2811.

What is Bend Memorial Clinic PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Bend Memorial Clinic PC was last updated on June 8, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years 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.