Organization
CENTRAL OREGON PATHOLOGY CONSULTANTS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IRENE CZYSZCZON DO (MEDICAL DIRECTOR)
(541) 382-7696
Entity
Organization
Contact information
Practice address
1348 NE CUSHING DR, SUITE 200, BEND, OR 97701-3876
(541) 382-7696
(541) 389-5723
Mailing address
PO BOX 7096, SPRINGFIELD, OR 97475-0005
(541) 382-7696
(541) 389-5723
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
38D0628303
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
084004
—
OR
01
—
2391
OREGON STATE LAB NUMBER
OR
01
—
38D0628303
CLIA
OR
Enumeration date
04/04/2007
Last updated
12/04/2025
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