Lumos Medical Center LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

4040 Issued in OR

Legal business name

LUMOS MEDICAL CENTER LLC

Practice address

335 NE Revere Ave
Bend, OR 97701

Phone

(541) 728-3790

NPI assigned

Aug 3, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Ren Bedasbad, ND, L.AC.

Title

Member

Phone

(541) 728-3790

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1501718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527811200000",
    "number": "1700301447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20472 DEL COCO CT",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977029414",
            "telephone_number": "712-330-5106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 NE REVERE AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "97701",
            "telephone_number": "541-728-3790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUMOS MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-03",
        "last_updated": "2018-06-01",
        "status": "A",
        "authorized_official_last_name": "BEDASBAD",
        "authorized_official_first_name": "REN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "541-728-3790",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND, L.AC."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "OR",
            "license": "4040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aurora Maria Luebbe, QMHA - I
• Katherine Manni Lui, LAC
• Nelly Lukale
• Margaret Ellen Lukens, FNP
• Angela Len Lull, IBCLC, LMT,CST,DOULA
• Sonia Y Luna
• Jennifer M Lundgren, PAC
• Jennifer Lundman, NBC-HWC
• Keelan Robert Lundquist
• Pamela Jean Lundy, PED. NURSE PRACTITIO

• 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 1, 2018; 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.