VITALITY FUNCTIONAL MEDICINE LLC

BEND, OR
NPI1821517954
Entity TypeOrganization
Authorized ContactERIN ARNOLD BISHOP
Nurse Practitioner
561-676-6121
Organization Subpart ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: OR  201706673NP)
Enumeration Date2017-09-09
Last Update Date2018-03-17
Business Address
VITALITY FUNCTIONAL MEDICINE LLC
155 SW CENTURY DR STE 111
BEND, OR 97702-1657
Phone number: 458-206-3331
Mailing Address
VITALITY FUNCTIONAL MEDICINE LLC
19657 ASPEN RIDGE DR
BEND, OR 97702-3366
Phone number: 561-676-6121