Healthcare Provider Details

I. General information

NPI: 1134228950
Provider Name (Legal Business Name): JENNIFER C NEAHRING MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/21/2006
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2275 NE DOCTORS DR STE 6
BEND OR
97701-6092
US

IV. Provider business mailing address

875 OAK ST SE STE 5070
SALEM OR
97301-3975
US

V. Phone/Fax

Practice location:
  • Phone: 541-706-5880
  • Fax: 541-706-5899
Mailing address:
  • Phone: 503-561-8565
  • Fax: 503-561-8560

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0002X
TaxonomyHospice and Palliative Medicine (Internal Medicine) Physician
License NumberMD20918
License Number StateOR
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD20918
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: