Kids Intervention & Diagnostic Service Center, Inc.

NPI #1790838324 in Bend, Oregon

Provider Information

NPI Number: 1790838324
Entity Type: Organization
Organization Name: Kids Intervention & Diagnostic Service Center, Inc.
Primary Specialty: Pediatrics
Enumeration Date: Jan 18, 2007
Last Updated: Mar 19, 2009

Practice Location

Address: 1375 NW KINGSTON AVE
City: Bend
State: Oregon
ZIP Code: 97701-2242
Phone: (541) 383-5958

Authorized Official

Name: BETH MYRA PATTERSON
Title: GENERAL MANAGER
Phone: (541) 383-5958

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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