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Kathleen C Antolak, MD
Specialist in Bend, Oregon
NPI 1316975741

Kathleen C Antolak is a Specialist based in Bend, OR. Kathleen C Antolak practices in Bend, OR and has the professional credentials of MD. The NPI Number for Kathleen C Antolak is 1316975741 and holds a License No. MD23421 (Oregon).

The current practice location address for Kathleen C Antolak is 1501 Ne Medical Center Dr, Bend, OR and can be reached out via phone at 541-382-2811.

Location: 1501 Ne Medical Center Dr, Bend, OR, 97701-6051
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316975741
Provider Name
Kathleen C Antolak
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1501 Ne Medical Center Dr, Bend, OR, 97701-6051
Phone Number
541-382-2811
Fax Number
Provider Enumeration Date
06/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
287220 05 OR
00479094 01 OR RAILROAD
institution
Provider Business Practice Location Address Details
Address
1501 Ne Medical Center Dr
City
Bend
State
Oregon
Zip
97701-6051
Phone Number
541-382-2811
Fax Number
person
Provider Business Mailing Address Details
Address
1501 Ne Medical Center Dr
City
Bend
State
Oregon
Zip
97701-6051
Phone Number
541-382-2811
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
MD23421 (Oregon)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
MD23421 (Oregon)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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