Gregory Kent Jividen, RN

Registered Nurse · Bend, OR

Individual Active NPI

NPI number 1578040903

Practice location

20370 Poe Sholes Dr
Bend, OR 97703-7938
Phone
(541) 318-1377
Fax
(541) 330-6455

Open in Google Maps

NPI record

NPI
1578040903
Entity type
Individual (Type 1)
Enumeration date
July 28, 2018
Last updated
July 28, 2018
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Registered Nurse Primary 163W00000X 201505879RN OR

About Gregory Jividen

Gregory Kent Jividen, RN is a healthcare provider registered in the NPI registry with the primary taxonomy Registered Nurse (code 163W00000X). The practice location is 20370 Poe Sholes Dr, Bend, OR 97703-7938. The NPI number 1578040903 was assigned on July 28, 2018 and the record was last updated on July 28, 2018.

Gregory Jividen lists a license in the registry: #201505879RN (OR) for Registered Nurse. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Gregory Kent Jividen, RN?

The NPI number is 1578040903.

What is the phone number of Gregory Jividen?

The phone number listed for the practice location is (541) 318-1377.

Where is Gregory Jividen located?

20370 Poe Sholes Dr, Bend, OR 97703-7938.

What is the taxonomy code for Gregory Jividen?

The primary taxonomy code is 163W00000X – Registered Nurse.

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.

Other Registered Nurse providers in Bend

All Registered Nurse providers in Bend, OR →