Individual
MR. JOHN R ORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2200 NE NEFF RD STE 302, BEND, OR 97701-4279
(541) 706-6915
(541) 706-6733
Mailing address
2500 NE NEFF RD, BEND, OR 97701-6015
(541) 382-4321
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
PA170172
OR
363AS0400X
Surgical Physician Assistant
PA4766
CO
Other
Enumeration date
10/02/2013
Last updated
08/30/2023
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