National Provider Identifier Database

DANETTE R ELLIOTT MULLENS, DO – NPI #1417977042
Internal Medicine

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.


Contact Information

DANETTE R ELLIOTT MULLENS, DO
2650 NE COURTNEY DR
BEND, OR97701-7636
Phone: 541-647-5200
Fax:
Website:
Specialty Taxonomy Code
* Internal Medicine 207R00000X
Adolescent Medicine 2080A0000X

* Indicates primary specialty

NPI Profile & details for DANETTE R ELLIOTT MULLENS

NPI Number 1417977042
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 07/19/2006
Last updated 04/11/2024 - About 2 years ago
Sole proprietor1 No
Identifiers
  • OR License #: DO150943
  • TX License #: K9775
  • OR Medicaid: 500621599
  • TX Medicaid: 143444105
  • MO Other: 2023050669 MO STATE BOARD OF REGISTRATION
  • TX Other: 8AJ420 BCBS INDIV PROV #
  • TX Other: 15402701 MEDICAID TPI BILLING NUMBER
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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