OrganizationActive
Shift Bend Functional Medicine
NPI 1962041707 · Family Medicine Physician · Bend, OR
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
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.