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Organization

DESCHUTES COUNTY OREGON

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID GERARD INBODY (HEALTH SERVICES DEPUTY DIRECTOR)
(541) 322-7678
Entity
Organization

Contact information

Practice address
2577 NE COURTNEY DR, BEND, OR 97701-7638
(541) 322-7400
(541) 322-7465
Mailing address
2577 NE COURTNEY DR, BEND, OR 97701-7638
(541) 322-7400
(541) 322-7465

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
042981
OR
261QA0005X
Ambulatory Family Planning Facility
030805147
OR
261QP0905X
State or Local Public Health Clinic/Center
Primary
261QP0905X
OR

Other

Enumeration date
06/03/2006
Last updated
10/13/2017
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