Healthcare Provider Details

I. General information

NPI: 1083519037
Provider Name (Legal Business Name): ARTEMIS VENTURES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/10/2026
Last Update Date: 10/10/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1699 NW HARTFORD AVE
BEND OR
97703-2453
US

IV. Provider business mailing address

1699 NW HARTFORD AVE
BEND OR
97703-2453
US

V. Phone/Fax

Practice location:
  • Phone: 415-730-8686
  • Fax:
Mailing address:
  • Phone: 415-730-8686
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number StateNULL

VIII. Authorized Official

Name: MELISSA PORRAS
Title or Position: NURSE PACTITIONER
Credential: BSN, APRN, NP, CNM
Phone: 415-730-8686