Individual
JESSICA LUNDY MAZAITIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
61250 SE COOMBS PL, BEND, OR 97702
(541) 706-5935
Mailing address
PO BOX 5579, BEND, OR 97708-5579
(541) 706-5935
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD175025
OR
Other
Enumeration date
05/23/2011
Last updated
02/04/2021
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