Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Shift Bend Functional Medicine

Organization Family Medicine Physician · NPI 1962041707

Shift Bend Functional Medicine provides Family Medicine Physician services 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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