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NPI 1053286906

IndividualActive

Mike Carpenter

NPI 1053286906 · Driver · Bend, OR

Provider details

NPI number: 1053286906
Entity type: Individual
Primary specialty: DriverOther Service Providers
Sex: Male
Sole proprietor: Yes
License: 2471918-93 (OR)

Practice location

20882 Covey Ct

Bend, OR 97701-5780

Phone: (541) 420-3859

More OR providers

Mailing address

20882 Covey Ct

Bend, OR 97701-5780

Registry dates

Enumerated: 2025-10-09
Last updated: 2025-10-24

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Mike Carpenter — NPI 1053286906, Bend, OR | NPI Central