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General NPI Number Information
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NPI Number | 1891635892
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Entity Type | Organization
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Legal Business Name | EVERWELL MEDICINE
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Dates
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Enumeration Date | 03/30/2026
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Last Update Date | 03/30/2026
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Provider Practice Location Address
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Address Line | 210 SW CENTURY DR APT 524
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City | BEND
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State | OR
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Zip | 97702-3837
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Country | US
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Telephone | 541-748-3879
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Fax | 541-581-8046
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Provider Business Mailing Address
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Address Line | 210 SW CENTURY DR APT 524
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City | BEND
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State | OR
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Zip | 97702-3837
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Country | US
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Telephone | 541-748-3879
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Fax | 541-581-8046
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Authorized Official
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Title or Position | FOUNDER / PHYSICIAN
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Name | MR. JARED ANTHONY HEAD
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Credential | MD
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Telephone | 832-782-3773
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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