Healthcare Provider Details

I. General information

NPI: 1285584664
Provider Name (Legal Business Name): SADIE LARSON-ROBINSON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/03/2026
Last Update Date: 02/03/2026
Certification Date: 02/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 NE NEFF RD
BEND OR
97701-6015
US

IV. Provider business mailing address

19963 COVEY LN
BEND OR
97702-2052
US

V. Phone/Fax

Practice location:
  • Phone: 541-706-5800
  • Fax:
Mailing address:
  • Phone: 541-706-5800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WX0200X
TaxonomyOncology Registered Nurse
License Number201703789RN
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: