Full Circle Ventures, LLC

Surgical Physician Assistant · Bend, OR

Organization Active NPI

NPI number 1285922641

Practice location

62806 Baskin Ct
Bend, OR 97701-9565
Phone
(541) 390-2464

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NPI record

NPI
1285922641
Entity type
Organization (Type 2)
Enumeration date
July 19, 2011
Last updated
July 19, 2011
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Surgical Physician Assistant Primary 363AS0400X PA00844 OR

Authorized official

Name
Mr. Eric S Davis, PA
Title
Owner
Phone
(541) 390-2464

About Full Circle Ventures, LLC

Full Circle Ventures, LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Surgical Physician Assistant (code 363AS0400X). The practice location is 62806 Baskin Ct, Bend, OR 97701-9565. The NPI number 1285922641 was assigned on July 19, 2011 and the record was last updated on July 19, 2011.

Full Circle Ventures, LLC lists a license in the registry: #PA00844 (OR) for Surgical Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Mr. Eric S Davis, PA, Owner.

Frequently asked questions

What is the NPI number of Full Circle Ventures, LLC?

The NPI number is 1285922641.

What is the phone number of Full Circle Ventures, LLC?

The phone number listed for the practice location is (541) 390-2464.

Where is Full Circle Ventures, LLC located?

62806 Baskin Ct, Bend, OR 97701-9565.

What is the taxonomy code for Full Circle Ventures, LLC?

The primary taxonomy code is 363AS0400X – Surgical Physician Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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