# THE STUDIO LA PINE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811649544
- **Authorized official:** STACY ASH LMT (OWNER)
- **Authorized official phone:** (541) 876-2100

## Contact information

- **Practice address:** 51470 HIGHWAY 97 STE 5A, LA PINE, OR 97739-9868
- **Practice address phone:** (541) 876-2100
- **Mailing address:** 52765 HOWARD LN, LA PINE, OR 97739-9417
- **Mailing address phone:** (808) 280-2087

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/24/2022
- **Last updated:** 01/24/2022