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Organization
KIDS INTERVENTION & DIAGNOSTIC SERVICE CENTER, INC.
Active
Organization
KIDS INTERVENTION & DIAGNOSTIC SERVICE CENTER, INC.
Active
Other names
KIDS Center
Organization subpart
No
Provider details
NPI number
Authorized official
BETH MYRA PATTERSON (GENERAL MANAGER)
(541) 383-5958
Entity
Organization
Contact information
Practice address
1375 NW KINGSTON AVE, BEND, OR 97701-2242
(541) 383-5958
(541) 383-3016
Mailing address
1375 NW KINGSTON AVE, BEND, OR 97701-2242
(541) 383-5958
(541) 383-3016
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
058144
—
OR
Enumeration date
01/18/2007
Last updated
03/19/2009
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