Organization
ST. CHARLES HEALTH SYSTEM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACK WATERS (CRNA)
(801) 824-0933
Entity
Organization
Contact information
Practice address
2500 NE NEFF RD, BEND, OR 97701-6015
(541) 706-2784
Mailing address
2500 NE NEFF RD, BEND, OR 97701-6015
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
—
—
Other
Enumeration date
12/17/2010
Last updated
12/17/2010
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