Healthcare Provider Details

I. General information

NPI: 1053442855
Provider Name (Legal Business Name): ARTHRITIS AND OSTEOPORSIS CLINIC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/07/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2200 NE NEFF RD STE 302
BEND OR
97701-4279
US

IV. Provider business mailing address

2200 NE NEFF RD STE 302
BEND OR
97701-4279
US

V. Phone/Fax

Practice location:
  • Phone: 541-317-1812
  • Fax:
Mailing address:
  • Phone: 541-317-1812
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number
License Number State

VIII. Authorized Official

Name: FRANN M BRITTON
Title or Position: BILLING AGENT
Credential:
Phone: 503-228-7106