Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bend Sovereign Wellness LLC

Organization Massage Therapist · NPI 1679392641

Bend Sovereign Wellness LLC is a Massage Therapist in Bend, Oregon. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2330 NE Division St Ste 8
Bend, OR 97703-3570
Phone: (541) 728-0932
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X

Record details

NPI number1679392641
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Savanah Imus — Owner · (541) 326-8890
Other names Bend Sovereign Wellness
NPI enumeratedOctober 7, 2024
Last updated in NPPESOctober 7, 2024
Certification dateOctober 7, 2024
Mailing address2330 Ne Division St Ste 8, Bend, OR 97703-3570

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