Organization · Type 2 NPI

Healing Roots Medicine LLC

Primary Care Clinic/Center · Bend, OR

NPI number 1477051795 Active

Practice location

339 SW Century Dr Ste 201
Bend, OR 97702-1338

Specialties and licenses

Taxonomy	Code	License
Primary Care Clinic/Center Primary	261QP2300X	201407546NP-PP (OR)

Primary Care Clinic/Center: Definition to come...

4 other providers at this address

Other primary care clinic/center providers in Bend

See all in Bend →

NPI record

NPI: 1477051795
Entity type: Organization (Type 2)
Issued: Feb 1, 2018
Last updated: Jul 6, 2026
Status: Active

Other names

<unavail>
Hearthside Medicine Family Care · doing business as
Hearthside Medicine Family Care · former legal business name
Healing Roots Medicine · other name

Authorized official

Havilah Noel Brodhead
Owner
(541) 316-5693

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.

Is this your record? How to update it.

About NPI 1477051795

Healing Roots Medicine LLC's National Provider Identifier is 1477051795, issued on Feb 1, 2018. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Bend, OR. The record was last updated on Jul 6, 2026.