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Organization
CENTRAL OREGON PATHOLOGY CONSULTANTS, PC
Active
Organization
CENTRAL OREGON PATHOLOGY CONSULTANTS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IRENE CZYSZCZON DO (MEDICAL DIRECTOR)
(541) 382-7696
Entity
Organization
Contact information
Practice address
1348 NE CUSHING DR, SUITE 200, BEND, OR 97701-3876
(541) 382-7696
(541) 389-5723
Mailing address
1348 NE CUSHING DR STE 200, BEND, OR 97701-3876
(541) 382-7696
(541) 389-5723
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
38D0628303
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
084004
—
OR
01
—
2391
OREGON STATE LAB NUMBER
OR
01
—
38D0628303
CLIA
OR
Enumeration date
04/04/2007
Last updated
05/28/2026
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