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NORTHWEST IV, LLC

Organization (NPI-2) Active

Nurse Practitioner, Family

Provider Information

NPI Number
1225619703
Provider Type
Organization / Facility (NPI-2)
Status
Active

Contact & Location

Address
2255 NW SHEVLIN PARK RD STE 110, BEND, OR, 977037134
Phone
(541) 728-2525
Fax
(971) 223-0919

Specialties & Taxonomies

Nurse Practitioner
Nurse Practitioner, Acute Care
Nurse Practitioner, Family Primary

All Addresses

MAILING

6400 SE LAKE RD STE 155

PORTLAND, OR, 972222137

(503) 447-3285

LOCATION

2255 NW SHEVLIN PARK RD STE 110

BEND, OR, 977037134

(541) 728-2525