Pacific Sage LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

PACIFIC SAGE LLC

Practice address

527 NE Bellevue Dr Ste 200
Bend, OR 97701-8744

Phone

(541) 640-7243

Fax

(541) 645-7243

NPI assigned

Oct 17, 2024

Organization subpart

No

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

Authorized official

Name

Ann Ottesen, AGPCNP (NP)NPI 1699499582

Title

NP, Owner

Phone

(541) 762-2727

Specialties & licenses 1

Addresses

Other names 1

• Pacific Sage Primary Care Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ann Ottesen, NP

  • Occupational Medicine Physician
  • Bend, OR
  • NPI 1699499582
  NPD Authorized official

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

{
    "created_epoch": "1729123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729123200000",
    "number": "1609697218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2660 NE HIGHWAY 20",
            "address_2": "SUITE 610 #524",
            "city": "BEND",
            "state": "OR",
            "postal_code": "97701",
            "telephone_number": "541-762-2727",
            "fax_number": "541-645-7243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "527 NE BELLEVUE DR STE 200",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977018744",
            "telephone_number": "541-640-7243",
            "fax_number": "541-645-7243"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2041 NE Williamson Ct Ste B",
            "address_purpose": "LOCATION",
            "city": "Bend",
            "state": "OR",
            "postal_code": "977013941",
            "country_code": "US",
            "telephone_number": "541-640-7243",
            "fax_number": "541-645-7243",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PACIFIC SAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-17",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A",
        "authorized_official_last_name": "OTTESEN",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "NP, OWNER",
        "authorized_official_telephone_number": "541-762-2727",
        "authorized_official_credential": "AGPCNP (NP)"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific Sage Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amelia Pacheco Santos
• Candice M. Pacheco, FNP
• Pacific Eye Group, PC
• Pacific Eye Group, PC
• Pacific Medical, Inc.
• Dan Packman
• Heather M Pagano
• Mollie Carlson Page, P.A.
• Karen Pagen, PT, CWCE
• Elizabeth Paige

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.