Bend Holistic Health Care, PC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

BEND HOLISTIC HEALTH CARE, PC

Practice address

132 SW Crowell Way Ste 101
Bend, OR 97702-1178

Phone

(458) 256-9594

Fax

(530) 316-5921

NPI assigned

Jun 3, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tina Trang Lam-Quan, NP

Title

Owner

Phone

(458) 256-9594

Specialties & licenses 1

Addresses

Other names 1

• Bend Holistic Health Care Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1717372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717372800000",
    "number": "1225879356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 SW CROWELL WAY STE 101",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977021178",
            "telephone_number": "458-256-9594",
            "fax_number": "530-316-5921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 SW CROWELL WAY STE 101",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977021178",
            "telephone_number": "458-256-9594",
            "fax_number": "530-316-5921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEND HOLISTIC HEALTH CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-03",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A",
        "authorized_official_last_name": "LAM-QUAN",
        "authorized_official_first_name": "TINA",
        "authorized_official_middle_name": "TRANG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "458-256-9594",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bend Holistic Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Primary Care Clinic/Center in Bend, OR
• Providers in Bend, OR by specialty
• Primary Care Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.