National Provider Identifier Database

LIFESTYLE MEDICINE OF CENTRAL OREGON PC
Gynecology

A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.


Contact Information

LIFESTYLE MEDICINE OF CENTRAL OREGON, PC
497 SW CENTURY DR
SUITE 120
BEND, OR97702-1167
Phone: 541-291-9960
Fax: 541-291-9961
Website:
Specialty Taxonomy Code
* Gynecology 207VG0400X

* Indicates primary specialty

NPI Profile & details for LIFESTYLE MEDICINE OF CENTRAL OREGON, PC

NPI Number 1013264456
Legal business name
LBN
LIFESTYLE MEDICINE OF CENTRAL OREGON, PC
Authorized official MARY HUNTSMAN - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 08/03/2012
Last updated 04/16/2013 - About 13 years ago
Sole proprietor1 Not specified
Identifiers
  • OR License #: MD17360

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for LIFESTYLE MEDICINE OF CENTRAL OREGON, PC

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