Organization
CENTRAL OREGON INTERNAL MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW JAN INGRASSIA DO (AUTHORIZED OFFICIAL)
(541) 728-2114
Entity
Organization
Contact information
Practice address
2275 NE DOCTORS DR STE 7, BEND, OR 97701-6324
(541) 728-2114
(541) 749-2126
Mailing address
2275 NE DOCTORS DR STE 7, BEND, OR 97701-6324
(541) 728-2114
(541) 749-2126
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
02/10/2025
Last updated
04/14/2025
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