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Organization

CENTRAL OREGON PEDIATRIC ASSOCIATES SUBSPECIALTY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
VALERIE SHINE (DIRECTOR OF FINANCE)
(541) 389-6313
Entity
Organization

Contact information

Practice address
2200 NE PROFESSIONAL CT, BEND, OR 97701-6063
(541) 389-6313
Mailing address
2200 NE PROFESSIONAL CT, BEND, OR 97701-6063
(541) 389-6313

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
208000000X
Pediatrics Physician
Primary
363A00000X
Physician Assistant
363L00000X
Nurse Practitioner

Other

Enumeration date
06/07/2024
Last updated
06/07/2024
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