DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MOSAIC MEDICAL

MEDICARE: MOSAIC MEDICAL
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
1261QF0400XFederally Qualified Health Center (FQHC)

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1649681560
Entity Type Code : Organization
Provider Name (Legal Business Name) : MOSAIC MEDICAL
Provider Business Mailing Address
First Line : 600 SW COLUMBIA ST
Second Line : SUITE 6210
City : BEND
State : OR
Zip : 97702-1099
Country : US
Telephone Number : 541-323-3181
Fax Number : 541-706-9895
Provider Business Practice Location Address
First Line : 2150 NE DAGGETT LN
Second Line :
City : BEND
State : OR
Zip : 97701-6560
Country : US
Telephone Number : 541-323-3850
Fax Number : 541-383-1883
Authorized Official
Title or Position : CEO
Name : MEGAN HAASE
Credential : NP
Telephone Number : 541-447-0707
Provider Enumeration Date : 05/13/2014
Last Update Date : 04/19/2016

Similar Medicare Providers

1255662953 — ELIZABETH T MILLAN P.N.P.
Practice Location Address:
2150 NE DAGGETT LN
BEND, OR
97701-6560
Practice Phone: 541-323-3850
Practice Fax: 541-383-1883
1528365020 — TARA TRIEST BURROWS OTR/L
Practice Location Address:
2125 NE DAGGETT LN
BEND, OR
97701-6560
Practice Phone: 541-389-1848
Practice Fax:
1053762310 — CLAIRE DAWLEY
Practice Location Address:
2125 NE DAGGETT LN
BEND, OR
97701-6560
Practice Phone: 541-728-3587
Practice Fax:
1255809547 — CHRISTY LEE SANDS PT, DPT
Practice Location Address:
2125 NE DAGGETT LN
BEND, OR
97701-6560
Practice Phone: 541-389-1848
Practice Fax: 541-550-7956
1033676424 — JAMIE LYNN KREFTING PT, DPT
Practice Location Address:
2125 NE DAGGETT LN
BEND, OR
97701-6560
Practice Phone: 541-389-1848
Practice Fax:
1295510527 — TRAVIS D FIELDS
Practice Location Address:
2125 NE DAGGETT LN
BEND, OR
97701-6560
Practice Phone: 541-408-7293
Practice Fax:

Directions to “MOSAIC MEDICAL ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.