Individual
MR. JAY PATRICK O'BRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1501 NE MEDICAL CENTER DR, BEND, OR 97701-6051
(541) 382-2811
Mailing address
1501 NE MEDICAL CENTER DR, BEND, OR 97701-6051
(541) 382-2811
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00828
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500625413
—
OR
01
—
P01213257
MEDICARE RAILROAD
OR
Enumeration date
06/13/2006
Last updated
01/26/2022
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