OrganizationActive
Rite Aid
NPI 1457662959 · Health Maintenance Organization · North Bend, OR
Provider details
- NPI number
- 1457662959
- Entity type
- Organization
- Primary specialty
- Health Maintenance OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Tenzin Bottoroff, Rph Mgr(541) 756-7531
- License
- 9818 (OR)
Specialties & taxonomies
Managed Care Organizations
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2040 Broadway St
North Bend, OR 97459-2328
Phone: (541) 756-7531
Fax: (541) 756-4136
Street-level locationGet directions
Mailing address
2040 Broadway St
North Bend, OR 97459-2328
Registry dates
- Enumerated
- 2010-06-30
- Last updated
- 2010-06-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.