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Vitality Functional Medicine Llc
Family Nurse Practitioner in Bend, Oregon
NPI 1821517954

Vitality Functional Medicine Llc is a Family Nurse Practitioner based in Bend, OR and is specialized in Family. Vitality Functional Medicine Llc practices in Bend, OR. The NPI Number for Vitality Functional Medicine Llc is 1821517954 and holds a License No. 201706673NP (Oregon).

The current practice location address for Vitality Functional Medicine Llc is 155 Sw Century Dr Ste 111, Bend, OR and can be reached out via phone at 458-206-3331 and via fax at 620-506-4777.

Location: 155 Sw Century Dr Ste 111, Bend, OR, 97702-3366
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1821517954
Provider Name
Vitality Functional Medicine Llc
Credential
Provider Entity Type
Organization
Address
155 Sw Century Dr Ste 111, Bend, OR, 97702-3366
Phone Number
458-206-3331
Fax Number
620-506-4777
Provider Enumeration Date
09/09/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
155 Sw Century Dr Ste 111
City
Bend
State
Oregon
Zip
97702-1657
Phone Number
458-206-3331
Fax Number
620-506-4777
person
Provider Business Mailing Address Details
Address
155 Sw Century Dr Ste 111
City
Bend
State
Oregon
Zip
97702-1657
Phone Number
458-206-3331
Fax Number
620-506-4777
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
201706673NP (Oregon)
Definition
Definition to come...
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