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General NPI Number Information
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NPI Number | 1518894583
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Entity Type | Organization
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Legal Business Name | BEND PEDIATRICS LLC
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Dates
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Enumeration Date | 05/05/2026
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Last Update Date | 05/05/2026
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Provider Practice Location Address
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Address Line | 2230 NW LABICHE LN
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City | BEND
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State | OR
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Zip | 97703-6720
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Country | US
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Telephone | 541-241-2238
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Fax |
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Provider Business Mailing Address
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Address Line | 70 SW CENTURY DR STE 100 PMB 1129
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City | BEND
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State | OR
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Zip | 97702
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Country | US
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Telephone | 541-241-2238
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Fax |
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Authorized Official
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Title or Position | PEDIATRICIAN
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Name | MICHELLE MILLS
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Credential | MD
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Telephone | 541-419-1663
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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