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

Taylor Laverdiere

Individual provider Physician Assistant · NPI 1134883176

Taylor Laverdiere is a Physician Assistant in Bend, Oregon. Qualified in 2021, 5 years ago. Practices with Bend Memorial Clinic PC, a 226-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
5
Licensed in
ID
In the registry since
2021
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Practice location Address checks out

1501 NE Medical Center Dr
Bend, OR 97701-6051
Phone: (541) 382-4900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA-2225 (ID)

Record details

NPI number1134883176
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 26, 2021
Last updated in NPPESJanuary 24, 2026
Certification dateJanuary 24, 2026
Mailing address1501 Ne Medical Center Dr, Bend, OR 97701-6051

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Bend Memorial Clinic Pc — 226 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Bend