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General NPI Number Information
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NPI Number | 1396659488
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Entity Type | Organization
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Legal Business Name | INTEGRATIVE FAMILY MEDICINE OF BEND
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Dates
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Enumeration Date | 09/28/2026
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Last Update Date | 09/28/2026
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Provider Practice Location Address
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Address Line | 2450 NE MARY ROSE PL STE 220
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City | BEND
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State | OR
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Zip | 97701-7133
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Country | US
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Telephone | 541-848-6152
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Fax | 541-572-9042
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Provider Business Mailing Address
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Address Line | 2450 NE MARY ROSE PL STE 220
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City | BEND
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State | OR
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Zip | 97701-7133
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Country | US
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Telephone | 541-848-6152
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Fax | 541-572-9042
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | JOCELYN COOPER
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Credential | ND
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Telephone | 541-848-6152
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 175F00000X
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Taxonomy Name | Naturopath
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License Number |
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License Number State | NULL
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Taxonomy #2
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Taxonomy Code | 202D00000X
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Taxonomy Name | Integrative Medicine Physician
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License Number |
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License Number State | NULL
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