OrganizationActive
Kids Intervention & Diagnostic Service Center, Inc.
NPI 1790838324 · Pediatrics Physician · Bend, OR
Provider details
- NPI number
- 1790838324
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Beth Patterson, General Manager(541) 383-5958
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
1375 Nw Kingston Ave
Bend, OR 97701-2242
Phone: (541) 383-5958
Fax: (541) 383-3016
Street-level locationGet directions
Mailing address
1375 Nw Kingston Ave
Bend, OR 97701-2242
Other names (DBA / former)
- Doing business as
- Kids Center
Registry dates
- Enumerated
- 2007-01-18
- Last updated
- 2009-03-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.