Provider Demographics
NPI:1043833015
Name:BEND CENTER FOR INTEGRATIVE HEALTH AND WELLNESS LLC
Entity Type:Organization
Organization Name:BEND CENTER FOR INTEGRATIVE HEALTH AND WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:CHRISTABEL
Authorized Official - Middle Name:G
Authorized Official - Last Name:TABBADA
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:541-668-1881
Mailing Address - Street 1:2660 NE HIGHWAY 20 STE 610-447
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97701-6402
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:568 NE SAVANNAH DR STE 5
Practice Address - Street 2:
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97701-4866
Practice Address - Country:US
Practice Address - Phone:541-668-1881
Practice Address - Fax:888-658-6924
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-25
Last Update Date:2020-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty