Individual provider · Type 1 NPI

Mike Carpenter

Driver · Bend, OR

NPI number 1053286906 Active

Practice location

20882 Covey Ct
Bend, OR 97701-5780

Specialties and licenses

TaxonomyCodeLicense
Driver Primary 172A00000X2471918-93 (OR)

Driver: A person employed to operate a motor vehicle as a carrier of persons or property.

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About NPI 1053286906

Mike Carpenter's National Provider Identifier is 1053286906, issued on Oct 9, 2025. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Bend, OR. The record was last updated on Oct 24, 2025.