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NPI Code Detail

MEDICARE: ASPIRE MEDICAL CLINIC LLC

MEDICARE: ASPIRE MEDICAL CLINIC LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261Q00000XClinic/Center

General Provider Information

NPI Number : 1023949955
Entity Type Code : Organization
Provider Name (Legal Business Name) : ASPIRE MEDICAL CLINIC LLC
Provider Business Mailing Address
First Line : PO BOX 1710
Second Line :
City : REDMOND
State : OR
Zip : 97756-0516
Country : US
Telephone Number : 541-516-4099
Fax Number : 541-516-4099
Provider Business Practice Location Address
First Line : 685 SE 3RD ST
Second Line :
City : BEND
State : OR
Zip : 97702-1754
Country : US
Telephone Number : 541-516-4099
Fax Number :
Authorized Official
Title or Position : CHIEF FINANCIAL OFFICER
Name : WENDY RENGO BOONE
Credential : BOONE
Telephone Number : 541-516-4099
Provider Enumeration Date : 05/28/2026
Last Update Date : 06/17/2026

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Directions to “ASPIRE MEDICAL CLINIC LLC ” Practice Location

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