NPI 1013264456

Lifestyle Medicine of Central Oregon, PC

Organisation Gynecology Physician Bend, OR

Practice location

Address: 497 SW Century Dr Suite 120, Bend, OR 97702-1167
Phone: (541) 291-9960
Fax: (541) 291-9961

Authorised official

Name: Mary Huntsman
Title: Owner
Phone: (541) 291-9960

Registered specialties

Gynecology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207VG0400X Licence MD17360 (OR)

Other Obstetrics & Gynecology providers in Oregon →

Registry record

NPI: 1013264456
Entity type: Organization
NPI issued: 3 Aug 2012
Record last updated: 16 Apr 2013

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.