Provider Demographics
NPI:1427550581
Name:MEND, LLC
Entity Type:Organization
Organization Name:MEND, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TARA
Authorized Official - Middle Name:
Authorized Official - Last Name:GATZ
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:541-900-9756
Mailing Address - Street 1:116 3RD ST STE 202
Mailing Address - Street 2:
Mailing Address - City:HOOD RIVER
Mailing Address - State:OR
Mailing Address - Zip Code:97031-2193
Mailing Address - Country:US
Mailing Address - Phone:541-659-2637
Mailing Address - Fax:
Practice Address - Street 1:116 3RD ST STE 202
Practice Address - Street 2:
Practice Address - City:HOOD RIVER
Practice Address - State:OR
Practice Address - Zip Code:97031-2193
Practice Address - Country:US
Practice Address - Phone:541-200-9754
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-05
Last Update Date:2018-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center