Central Oregon Pediatric Associates Subspecialty

NPI #1053153452 in Bend, Oregon

Provider Information

NPI Number: 1053153452
Entity Type: Organization
Organization Name: Central Oregon Pediatric Associates Subspecialty
Primary Specialty: Pediatrics
Enumeration Date: Jun 7, 2024
Last Updated: Jun 7, 2024

Practice Location

Address: 2200 NE PROFESSIONAL CT
City: Bend
State: Oregon
ZIP Code: 97701-6063
Phone: (541) 389-6313

Authorized Official

Name: VALERIE SHINE
Title: DIRECTOR OF FINANCE
Phone: (541) 389-6313

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X
Nurse Practitioner	363L00000X
Allergy & Immunology	207K00000X
Pediatrics	208000000X	Primary

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