Organization · Type 2 NPI

Northwest Iv, LLC

Family Nurse Practitioner · Bend, OR

NPI number 1225619703 Active

Practice location

2255 NW Shevlin Park Rd Ste 110
Bend, OR 97703-7134

Call (541) 728-2525 Map

Fax (971) 223-0919

Mailing address

6400 SE Lake Rd Ste 155
Portland, OR 97222-2137

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner	363L00000X	None listed
Acute Care Nurse Practitioner	363LA2100X	None listed
Family Nurse Practitioner Primary	363LF0000X	None listed

Family Nurse Practitioner: Definition to come...

2 other providers at this address

Brittney Osborne, PMHNP-BCPsychiatric/Mental Health Nurse Practitioner Bend, OR NPI 1376682658
Suzanne Kristen Puryear, DNP-FNPFamily Nurse Practitioner Bend, OR NPI 1215607890

Other family nurse practitioner providers in Bend

See all in Bend →

NPI record

NPI: 1225619703
Entity type: Organization (Type 2)
Issued: Apr 16, 2021
Last updated: Feb 5, 2026
Status: Active
Subpart: Yes of Northwest Iv, LLC

Other names

<unavail>
Evolve Health · doing business as
Evolve Health · doing business as

Authorized official

John Perry
Managing Director
(971) 358-9292

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1225619703

Northwest Iv, LLC's National Provider Identifier is 1225619703, issued on Apr 16, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Bend, OR. The record was last updated on Feb 5, 2026.