Bend Memorial Clinic PC
Bend Memorial Clinic PC is a healthcare organization registered as Clinical Medical Laboratory in Bend, OR, holding Type 2 (organization) NPI 1972144913 since 2019. The authorized official on file is Jessie Dover, Credentialing Coordinator.
✓ Active NPI ✓ Valid NPI checksum Organization subpart
| NPI | 1972144913 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Bend Memorial Clinic PC |
| Other name | <Unavail> |
| Parent organization | Bend Memorial Clinic PC Dba Summit Health |
| Practice address | 1501 NE MEDICAL CENTER DR, Bend, OR, 97701 |
| Phone | 5413822811 |
| Enumeration date | 2019-10-01 |
| Last updated in NPPES | 2023-04-14 |
Authorized official
| Name | Jessie Dover |
|---|---|
| Title | Credentialing Coordinator |
| Phone | 5417062495 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 291U00000X | Clinical Medical Laboratory | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 213243 | Medicaid | OR | — |
Copy-ready billing details
Provider: Bend Memorial Clinic PC NPI: 1972144913 Taxonomy: 291U00000X (Clinical Medical Laboratory) Address: 1501 NE MEDICAL CENTER DR, Bend, OR, 97701
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1467455386 | William Schmidt | Individual | Hematology & Oncology Physician | Bend, OR |
| 1740284777 | Mark Belza | Individual | Neurological Surgery Physician | Bend, OR |
| 1689678278 | Tammy Bull | Individual | Obstetrics & Gynecology Physician | Bend, OR |
| 1528062056 | Christopher Richards | Individual | Emergency Medicine Physician | Bend, OR |
| 1942205752 | Jeffrey Davis | Individual | Internal Medicine Physician | Bend, OR |
| 1366448821 | James Ockner | Individual | Diagnostic Radiology Physician | Bend, OR |
| 1184624223 | Andrew Sargent | Individual | Physician Assistant | Bend, OR |
| 1265433445 | Adam Williams | Individual | Allergy & Immunology Physician | Bend, OR |
Verify this record
Cross-check NPI 1972144913 against the authoritative CMS record: view Bend Memorial Clinic PC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Bend Memorial Clinic PC?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2023-04-14.