OrganizationActive
Shift Bend Functional Medicine
NPI 1962041707 · Family Medicine Physician · Bend, OR
Shift Bend Functional Medicine is a Family Medicine Physician organization in Bend, OR (NPI 1962041707).
Provider details
- NPI number
- 1962041707
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Marie Agnew, Owner and Medical Provider(541) 219-1910
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
151 Sw Shevlin Hicks Dr
Suite #1
Bend, OR 97702
Phone: (541) 219-1910
Approximate (ZIP-level) locationGet directions
Mailing address
556 Nw Trenton Ave
Bend, OR 97703-1126
Registry dates
- Enumerated
- 2019-12-26
- Last updated
- 2019-12-26
- Certified
- 2019-12-26
Frequently asked questions
- What is Shift Bend Functional Medicine's NPI number?
- Shift Bend Functional Medicine's National Provider Identifier (NPI) is 1962041707, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Shift Bend Functional Medicine?
- Shift Bend Functional Medicine is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Shift Bend Functional Medicine located?
- Shift Bend Functional Medicine's practice location on file with NPPES is 151 Sw Shevlin Hicks Dr, Bend, OR 97702.
- What is Shift Bend Functional Medicine's phone number?
- The practice phone number listed in the NPPES registry for Shift Bend Functional Medicine is (541) 219-1910.
- Who is the authorized official for Shift Bend Functional Medicine?
- The authorized official listed on Shift Bend Functional Medicine's NPPES record is Marie Agnew, Owner and Medical Provider. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Shift Bend Functional Medicine's NPI active?
- Yes — Shift Bend Functional Medicine's NPI (1962041707) is active in the NPPES registry as of the last update on 2019-12-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.