NPI 1073599452

Stacy C. Berube, MD

Practitioner Pediatrics Physician Bend, OR

Practice location

Address: 2200 NE Professional CT, Bend, OR 97701-6063
Phone: (541) 389-6313
Fax: (541) 389-8760
Mailing address: 2200 NE Professional CT., Bend, OR 97701

Registered specialties

Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence MD11490 (OR)

Other Pediatrics providers in Oregon →

Registry record

NPI: 1073599452
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Dec 2005
Record last updated: 9 Apr 2009

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.