Individual
DR. PRISCILLA VILLARREAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1501 NE MEDICAL CENTER DR, BEND, OR 97701-6099
(541) 382-4900
Mailing address
PO BOX 6048, BEND, OR 97708-6048
(541) 382-4900
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD178966
OR
207Q00000X
Family Medicine Physician
MD60679324
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500732594
—
OR
Enumeration date
03/28/2014
Last updated
04/08/2024
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