Organization Active NPI

Journey Health, Inc

  • Primary Care Clinic/Center
  • Bend, OR
National Provider Identifier
1487129235
Registry record updated Apr 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
JOURNEY HEALTH, INC
Practice address
354 NE Greenwood Ave Ste 102
Bend, OR 97701-4631
Phone
(541) 350-8963
Fax
(541) 350-8963
NPI assigned
Oct 9, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2022

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

Authorized official

Name
Miss Carey Pulido, FNP-C
Title
Ceo
Phone
(541) 797-4063

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

354 NE Greenwood Ave Ste 102
Bend, OR 97701-4631

Mailing address

354 NE Greenwood Ave Ste 102
Bend, OR 97701-4631
Phone (541) 350-8963

National Provider Directory

National Provider Directory

Locations

2955 N Highway 97
Ste 206
Bend, OR 97703
Phone (541) 241-6181

354 NE Greenwood Ave
Ste 102
Bend, OR 97701
Phone (541) 350-8963

NPI Registry JSON

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

{
    "created_epoch": "1539043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650240000000",
    "number": "1487129235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "354 NE GREENWOOD AVE STE 102",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014631",
            "telephone_number": "541-350-8963",
            "fax_number": "541-350-8963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "354 NE GREENWOOD AVE STE 102",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014631",
            "telephone_number": "541-350-8963",
            "fax_number": "541-350-8963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOURNEY HEALTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-09",
        "last_updated": "2022-04-18",
        "certification_date": "2022-04-18",
        "status": "A",
        "authorized_official_last_name": "PULIDO",
        "authorized_official_first_name": "CAREY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "541-797-4063",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2022; 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.