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Organization
CENTRAL OREGON INTERNAL MEDICINE LLC
Active
Organization
CENTRAL OREGON INTERNAL MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW JAN INGRASSIA DO (AUTHORIZED OFFICIAL)
(541) 728-2114
Entity
Organization
Contact information
Practice address
2275 NE DOCTORS DR STE 7, BEND, OR 97701-6324
(541) 728-2114
(541) 749-2126
Mailing address
2275 NE DOCTORS DR STE 7, BEND, OR 97701-6324
(541) 728-2114
(541) 749-2126
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
02/10/2025
Last updated
04/14/2025
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