Northwest Iv, LLC

NPI #1225619703 in Bend, Oregon

Provider Information

NPI Number
1225619703
Entity Type
Organization
Organization Name
Northwest Iv, LLC
Subpart
Yes (part of a larger organization)
Parent Organization
NORTHWEST IV, LLC
Primary Specialty
Nurse Practitioner - Family
Enumeration Date
Apr 16, 2021
Last Updated
Feb 5, 2026

Practice Location

Address
2255 NW SHEVLIN PARK RD STE 110
City
Bend
State
Oregon
ZIP Code
97703-7134
Phone
(541) 728-2525

Authorized Official

Name
JOHN PERRY
Title
MANAGING DIRECTOR
Phone
(971) 358-9292

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner
Nurse Practitioner - Acute CareAcute Care
Nurse Practitioner - FamilyFamily

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