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

Shift Bend Functional Medicine

Organization Family Medicine Physician · NPI 1962041707

Shift Bend Functional Medicine is a Family Medicine Physician in Bend, Oregon. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

151 SW Shevlin Hicks Dr Ste #1
Bend, OR 97702
Phone: (541) 219-1910
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1962041707
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marie Agnew — Owner And Medical Provider · (541) 219-1910
NPI enumeratedDecember 26, 2019
Last updated in NPPESDecember 26, 2019
Certification dateDecember 26, 2019
Mailing address556 Nw Trenton Ave, Bend, OR 97703-1126

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