Central Oregon Spine and Sports, LLC
Central Oregon Spine and Sports, LLC is a Physical Medicine & Rehabilitation Physician in Bend, Oregon. Licensed in Oregon. Registered with an NPI since 2017.
- Licensed in
- OR
- In the registry since
- 2017
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2115 NE Wyatt Ct Ste 101Bend, OR 97701-7678
Phone: (541) 420-4833
Fax: (541) 228-3670
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Medicine & Rehabilitation Physician (primary) | Taxonomy 208100000X · Licence MD152056 (OR) |
|---|
Record details
| NPI number | 1497293054 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kimberly Booher — Administrator · (541) 420-4833 |
| NPI enumerated | February 3, 2017 |
| Last updated in NPPES | February 3, 2017 |
| Mailing address | 2115 Ne Wyatt Ct, Suite 101, Bend, OR 97701-7678 |
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