NPI 1053286906

Mike Carpenter

Practitioner Driver Bend, OR

Practice location

Address: 20882 Covey CT, Bend, OR 97701-5780
Phone: (541) 420-3859

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence 2471918-93 (OR)

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Registry record

NPI: 1053286906
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Oct 2025
Record last updated: 24 Oct 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.