Ponderosa Medical

NPI #1710931274 in Bend, Oregon

Provider Information

NPI Number: 1710931274
Entity Type: Organization
Organization Name: Ponderosa Medical
Primary Specialty: Internal Medicine
Enumeration Date: May 20, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 1558 SW NANCY WAY
Address 2: SUITE 101
City: Bend
State: Oregon
ZIP Code: 97702-3216
Phone: (541) 312-8679

Authorized Official

Name: GILBERT B LEE, MD
Title: PHYSICIAN
Phone: (541) 312-8679

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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