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Organization

LIFESTYLE MEDICINE OF CENTRAL OREGON, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARY HUNTSMAN MD (OWNER)
(541) 291-9960
Entity
Organization

Contact information

Practice address
497 SW CENTURY DR, SUITE 120, BEND, OR 97702-1167
(541) 291-9960
(541) 291-9961
Mailing address
497 SW CENTURY DR, SUITE 120, BEND, OR 97702-1167
(541) 291-9960
(541) 291-9961

Taxonomy

Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
MD17360
OR

Other

Enumeration date
08/03/2012
Last updated
04/16/2013
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