Active NPIOrganization

Central Oregon Pediatric Associates Subspecialty

Pediatrics in Bend, Oregon

NPI Number1053153452
Practice location
2200 NE Professional CT, Bend, OR 97701-6063
Fax
—
Last updated
June 7, 2024

Central Oregon Pediatric Associates Subspecialty is a healthcare organization based in Bend, OR. Central Oregon Pediatric Associates Subspecialty practices in Bend, OR. The NPI Number for Central Oregon Pediatric Associates Subspecialty is 1053153452. The current practice location address for Central Oregon Pediatric Associates Subspecialty is 2200 NE Professional CT, Bend, OR 97701-6063 and can be reached out via phone at 541-389-6313.

Provider Profile Details

NPI Number
1053153452
Provider Name
Central Oregon Pediatric Associates Subspecialty
Provider Entity Type
Organization
Address
2200 NE Professional CT, Bend, OR 97701-6063
Phone Number
541-389-6313
Primary Taxonomy
Pediatrics · 208000000X
Organization Subpart
No
Authorized Official
Valerie Shine · Director Of Finance · 541-389-6313
Provider Enumeration Date
June 7, 2024
Last Update Date
June 7, 2024
Certification Date
June 7, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
2200 NE Professional CT
Bend, OR 97701-6063
City
Bend
State
Oregon
Zip
97701-6063
Phone Number
541-389-6313
Bend, OR 97701Get directions →

Provider Business Mailing Address Details

Address
2200 NE Professional CT
Bend, OR 97701-6063
City
Bend
State
OR
Zip
97701-6063
Phone Number
541-389-6313

License Information

Taxonomy (1)
Allergy & Immunology · 207K00000X
Taxonomy (2)
Pediatrics · 208000000X · Primary
Taxonomy (3)
Physician Assistant · 363A00000X
Taxonomy (4)
Nurse Practitioner · 363L00000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Central Oregon Pediatric Associates Subspecialty?

The NPI number of Central Oregon Pediatric Associates Subspecialty is 1053153452. It was assigned on June 7, 2024 and is currently active in the NPPES registry.

What is the specialty of Central Oregon Pediatric Associates Subspecialty?

Central Oregon Pediatric Associates Subspecialty is registered under the primary taxonomy Pediatrics (code 208000000X).

Where does Central Oregon Pediatric Associates Subspecialty practice?

The practice location is 2200 NE Professional CT, Bend, OR 97701-6063. The office can be reached at 541-389-6313 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1053153452 directly on the NPPES registry website.

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