MEDICARE: NEUROMUSCULOSKELETAL CENTER OF THE CASCADES PC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	207X00000X	Orthopaedic Surgery Physician
2	261QU0200X	Urgent Care Clinic/Center
3	174400000X	Specialist

General Provider Information

NPI Number	:	1689191298
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEUROMUSCULOSKELETAL CENTER OF THE CASCADES PC

Provider Business Mailing Address
First Line	:	2200 NE NEFF RD STE 200
Second Line	:
City	:	BEND
State	:	OR
Zip	:	97701-4281
Country	:	US
Telephone Number	:	541-322-2332
Fax Number	:	541-382-1681

Provider Business Practice Location Address
First Line	:	2245 NW SHEVLIN PARK RD
Second Line	:
City	:	BEND
State	:	OR
Zip	:	97703-7195
Country	:	US
Telephone Number	:	541-382-3344
Fax Number	:	541-382-1681

Authorized Official
Title or Position	:	CEO
Name	:	MR. BRETT HAZLETT
Credential	:
Telephone Number	:	541-322-2379

Provider Enumeration Date	:	08/24/2017
Last Update Date	:	07/24/2023

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