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Individual

JOHN PANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
815 SW BOND ST, BEND, OR 97702-3593
(541) 382-4900
Mailing address
1501 NE MEDICAL CENTER DR, BEND, OR 97701-6051
(541) 382-4900

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
328030
LA
207Y00000X
Otolaryngology Physician
Primary
MD223216
OR
207Y00000X
Otolaryngology Physician
MD61029034
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1518237569
WA
05
500863634
OR
01
R276738
PTAN
OR
Enumeration date
01/09/2012
Last updated
01/25/2026
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