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NPI Profile for HIGH DESERT SPORTS AND SPINE LLC in BEND, OR.
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Pain Medicine |
207LP2900X | 05 | Physician/Anesthesiology | |
Durable Medical Equipment & Medical Supplies |
332B00000X | 54 | Other Medical Supply Company | |
Emergency Medical Services |
207PE0004X | 93 | Physician/Emergency Medicine | |
Pain Medicine |
2081P2900X | 25 | Physician/Physical Medicine and Rehabilitation | |
Physician Assistant |
363A00000X | 97 | Physician Assistant |
| NPI # | 1073376695 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 02/05/2024 | |
| Last updated | 01/28/2026 - About 4 months ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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HIGH DESERT SPORTS AND SPINE, LLC
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HIGH DESERT SPORTS AND SPINE, LLC