Provider Demographics
NPI:1699090043
Name:WORK CAPACITIES LLC
Entity type:Organization
Organization Name:WORK CAPACITIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OTR
Authorized Official - Prefix:
Authorized Official - First Name:JANET
Authorized Official - Middle Name:
Authorized Official - Last Name:KADLECIK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:541-306-6175
Mailing Address - Street 1:2275 NE DOCTORS DR
Mailing Address - Street 2:SUITE 4
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97701-6324
Mailing Address - Country:US
Mailing Address - Phone:541-306-6175
Mailing Address - Fax:
Practice Address - Street 1:2275 NE DOCTORS DR
Practice Address - Street 2:SUITE 4
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97701-6324
Practice Address - Country:US
Practice Address - Phone:541-306-6175
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-29
Last Update Date:2010-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR419788261QX0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QX0100XAmbulatory Health Care FacilitiesClinic/CenterOccupational Medicine