LIFESTYLE MEDICINE OF CENTRAL OREGON, PC; NPI #1013264456

Contact Information

LIFESTYLE MEDICINE OF CENTRAL OREGON, PC

497 SW CENTURY DR
SUITE 120
BEND, OR 97702-1167

Phone: 541-291-9960
Fax: 541-291-9961
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Gynecology	207VG0400X	16	Physician/Obstetrics & Gynecology

Indicates primary specialty

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

NPI # 1013264456

LBN Legal business name LIFESTYLE MEDICINE OF CENTRAL OREGON, PC

Authorized official MARY HUNTSMAN - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 08/03/2012

Last updated 04/16/2013 - About 13 years ago

Identifiers

License #

MD17360

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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LIFESTYLE MEDICINE OF CENTRAL OREGON, PC

Contact Information

Specialty

Gynecology

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

Reviews for LIFESTYLE MEDICINE OF CENTRAL OREGON, PC