Organization
CHILDREN'S HEART CENTER OF CENTRAL OREGON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. URSZULA WANDA FAWCETT MD (SOLE MEMBER)
(541) 385-3048
Entity
Organization
Contact information
Practice address
2041 NE WILLIAMSON CT STE A, BEND, OR 97701-3941
(541) 639-8333
(541) 749-2126
Mailing address
2041 NE WILLIAMSON CT. SUITE A, BEND, OR 97701
(541) 639-8333
(541) 749-2126
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD23398
OR
Other
Enumeration date
12/18/2014
Last updated
12/18/2014
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