Organization
ST. CHARLES HEALTH SYSTEM, INC.
Active
Other names
ST. CHARLES MEDICAL GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW SWAFFORD (CHIEF FINANCIAL OFFICER)
(541) 382-4321
Entity
Organization
Contact information
Practice address
2500 NE NEFF RD, BEND, OR 97701-6015
(541) 382-4321
Mailing address
PO BOX 6095, BEND, OR 97708-6095
(541) 382-4321
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500625168
—
OR
Enumeration date
03/01/2010
Last updated
05/05/2023
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