Provider Demographics
NPI:1447011523
Name:BEND HEALTH & PERFORMANCE PC
Entity type:Organization
Organization Name:BEND HEALTH & PERFORMANCE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:HAMMONS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:206-617-4161
Mailing Address - Street 1:61239 TETHEROW DR STE 208
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97702-3734
Mailing Address - Country:US
Mailing Address - Phone:206-617-4161
Mailing Address - Fax:541-797-5017
Practice Address - Street 1:61239 TETHEROW DR STE 208
Practice Address - Street 2:
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97702-3734
Practice Address - Country:US
Practice Address - Phone:206-617-4161
Practice Address - Fax:541-797-5017
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-17
Last Update Date:2024-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty