Active NPI
Premise Health of Oregon Medical PC
- Multi-Specialty Clinic/Center
- Bend, OR
National Provider Identifier
1891450003
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Legal business name
- PREMISE HEALTH OF OREGON MEDICAL PC
- Practice address
- 63360 Britta St Ste 1
Bend, OR 97703-9475 - Phone
- (541) 322-7639
- NPI assigned
- Nov 2, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Edward William Schwartz
- Title
- President
- Phone
- (844) 407-7557
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | Primary |
Addresses
Primary practice location
63360 Britta St Ste 1
Bend, OR 97703-9475
Mailing address
5500 Maryland Way Ste 120
Brentwood, TN 37027-4993
Other names 1
- Deschutes Juvenile Detention Center Clinic
National Provider Directory
National Provider Directory- Tax ID family
- Deschutes Juvenile Detention Center Clinic
Other organizations with this tax ID 8
Organizations that report the same tax identification number in the National Provider Directory.
-
- Primary Care Clinic/Center
- Lebanon, OR
- NPI 1093126385
-
- Multi-Specialty Clinic/Center
- Portland, OR
- NPI 1134895410
-
- Multi-Specialty Clinic/Center
- Portland, OR
- NPI 1164197083
-
- Multi-Specialty Clinic/Center
- Bend, OR
- NPI 1457017238
-
- Multi-Specialty Clinic/Center
- Hillsboro, OR
- NPI 1700526092
-
- Multi-Specialty Clinic/Center
- Fairview, OR
- NPI 1457026056
-
- Primary Care Clinic/Center
- Hillsboro, OR
- NPI 1619286044
-
- Multi-Specialty Clinic/Center
- Portland, OR
- NPI 1992470504
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635811200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1770249600000",
"number": "1891450003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5500 MARYLAND WAY STE 120",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370274993"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "63360 BRITTA ST STE 1",
"city": "BEND",
"state": "OR",
"postal_code": "977039475",
"telephone_number": "541-322-7639"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREMISE HEALTH OF OREGON MEDICAL PC",
"organizational_subpart": "NO",
"enumeration_date": "2021-11-02",
"last_updated": "2026-02-05",
"certification_date": "2026-02-05",
"status": "A",
"authorized_official_last_name": "SCHWARTZ",
"authorized_official_first_name": "EDWARD",
"authorized_official_middle_name": "WILLIAM",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "844-407-7557"
},
"taxonomies": [
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Deschutes Juvenile Detention Center Clinic",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Deschutes Juvenile Detention Center Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Feb 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.