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

Vitality Functional Medicine LLC

Organization Family Nurse Practitioner · NPI 1821517954

Vitality Functional Medicine LLC is a Family Nurse Practitioner in Bend, Oregon. Works from 2 locations. Licensed in Oregon.

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.

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Practice location Address checks out

155 SW Century Dr Ste 111
Bend, OR 97702-1657
Phone: (458) 206-3331
Fax: (620) 506-4777
Show map & directions

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

Additional practice locations (1)

  • 19657 Aspen Ridge Dr, Bend, OR 97702-3366 — (561) 676-6121

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 201706673NP (OR)

Record details

NPI number1821517954
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Erin Bishop — Nurse Practitioner · (561) 676-6121
NPI enumeratedSeptember 9, 2017
Last updated in NPPESMarch 17, 2018
Mailing address19657 Aspen Ridge Dr, Bend, OR 97702-3366

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