- Practice location
- 143 SW Shevlin Hixon Dr, Suite #203, Bend, OR 97702-3189
- Phone
- 541-749-8196
- Fax
- 541-678-5466
- Last updated
- March 14, 2012
Central Oregon Clinical Genetics Center, LLC is a healthcare organization based in Bend, OR. Central Oregon Clinical Genetics Center, LLC practices in Bend, OR. The NPI Number for Central Oregon Clinical Genetics Center, LLC is 1740572221 and holds a License No. A46201 (CA). The current practice location address for Central Oregon Clinical Genetics Center, LLC is 143 SW Shevlin Hixon Dr, Suite #203, Bend, OR 97702-3189 and can be reached out via phone at 541-749-8196 and via fax at 541-678-5466.
Provider Profile Details
- NPI Number
- 1740572221
- Provider Name
- Central Oregon Clinical Genetics Center, LLC
- Provider Entity Type
- Organization
- Address
- 143 SW Shevlin Hixon Dr, Suite #203, Bend, OR 97702-3189
- Phone Number
- 541-749-8196
- Fax Number
- 541-678-5466
- Primary Taxonomy
- Clinic/Center, Medical Specialty · 261QM2500X
- Organization Subpart
- No
- Authorized Official
- Dr. Osvaldo Antonio Schirripa, MD · Director/Owner · 541-749-8196
- Provider Enumeration Date
- May 3, 2011
- Last Update Date
- March 14, 2012
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 143 SW Shevlin Hixon Dr
Suite #203
Bend, OR 97702-3189 - City
- Bend
- State
- Oregon
- Zip
- 97702-3189
- Phone Number
- 541-749-8196
- Fax Number
- 541-678-5466
Provider Business Mailing Address Details
- Address
- 143 SW Shevlin Hixon Dr
Suite #203
Bend, OR 97702-3189 - City
- Bend
- State
- OR
- Zip
- 97702-3189
- Phone Number
- 541-749-8196
- Fax Number
- 541-678-5466
License Information
- License Number (1)
- A46201
- License State (1)
- CA
- Taxonomy (1)
- Clinical Medical Laboratory · 291U00000X
- License Number (2)
- MD153157
- License State (2)
- OR
- Taxonomy (2)
- Clinic/Center, Health Services · 261QH0100X
- License Number (3)
- MD153157
- License State (3)
- OR
- Taxonomy (3)
- Clinic/Center, Medical Specialty · 261QM2500X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Clinic/Center, Medical Specialty providers near Bend, OR
View all Clinic/Center, Medical Specialty providers in Bend →- Bend Osteopathic Care, PCClinic/Center, Medical Specialty · NPI 1174868020
- Allyse C AnstineCounselor, Mental Health · NPI 1568261600
- Sara Borman, LMTMassage Therapist · NPI 1508764564
- Mark AceberosCounselor, Mental Health · NPI 1780315556
- Elijah AdamsPhysician Assistant · NPI 1598570939
- Addylee BendisCounselor · NPI 1235037763
Frequently Asked Questions
What is the NPI number of Central Oregon Clinical Genetics Center, LLC?
The NPI number of Central Oregon Clinical Genetics Center, LLC is 1740572221. It was assigned on May 3, 2011 and is currently active in the NPPES registry.
What is the specialty of Central Oregon Clinical Genetics Center, LLC?
Central Oregon Clinical Genetics Center, LLC is registered under the primary taxonomy Clinic/Center, Medical Specialty (code 261QM2500X), licensed in CA under license number A46201.
Where does Central Oregon Clinical Genetics Center, LLC practice?
The practice location is 143 SW Shevlin Hixon Dr, Suite #203, Bend, OR 97702-3189. The office can be reached at 541-749-8196 (phone) or 541-678-5466 (fax).
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 1740572221 directly on the NPPES registry website.