Organization
CENTRAL OREGON REGIONAL PATHOLOGY SERVICES, LLC
Active
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
1348 NE CUSHING DR STE 210, BEND, OR 97701-3876
(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
05/28/2026
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