PREMISE HEALTH OF OREGON MEDICAL P C

BEND, OR
NPI1891450003
Doing Business AsDESCHUTES JUVENILE DETENTION CENTER CLINIC
Entity TypeOrganization
Authorized ContactJONATHAN LEIZMAN
President
216-479-9063
Organization Subpart ?No
Primary Taxonomy261QM1300X Clinic/Center, Multi-Specialty
Enumeration Date2021-11-02
Last Update Date2022-10-13
Business Address
PREMISE HEALTH OF OREGON MEDICAL P C
63360 BRITTA ST STE 1
BEND, OR 97703-9475
Phone number: 541-322-7639
Mailing Address
PREMISE HEALTH OF OREGON MEDICAL P C
5500 MARYLAND WAY STE 120
BRENTWOOD, TN 37027-4993
Phone number: