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

Wise Mountain Medicine LLC

Organization Clinic/Center · NPI 1316512049

Wise Mountain Medicine LLC is a Clinic/Center in Bend, Oregon. Registered with an NPI since 2021.

In the registry since
2021
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

335 NE Revere Ave
Bend, OR 97701-4059
Phone: (541) 238-7285
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X

Record details

NPI number1316512049
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carlton Kelch — Co-Owner · (970) 406-1019
NPI enumeratedMay 25, 2021
Last updated in NPPESMay 25, 2021
Certification dateMay 25, 2021
Mailing address2150 Nw Hill St Apt 3, Bend, OR 97703-1373

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