Organization
CENTRAL OREGON REGIONAL PATHOLOGY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IRENE CZYSZCZON DO (MEDICAL DIRECTOR)
(541) 382-7696
Entity
Organization
Contact information
Practice address
1348 NE CUSHING DR, SUITE 210, BEND, OR 97701-3876
(541) 382-7696
(541) 389-5723
Mailing address
PO BOX 7096, SPRINGFIELD, OR 97475-0005
(541) 382-7696
(541) 389-5723
Taxonomy
Speciality
Code
Description
License number
State
246QC2700X
Cytotechnology Specialist/Technologist
38D0656805
OR
246QH0600X
Histology Specialist/Technologist
38D0656805
OR
246R00000X
Pathology Technician
38D0656805
OR
291U00000X
Clinical Medical Laboratory
Primary
38D0656805
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
227834
—
OR
01
—
346
STATE LAB LICENSE NUMBER
OR
01
—
38D0656805
CLIA
OR
Enumeration date
04/04/2007
Last updated
12/04/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us