Individual
DR. JASON PAUL JUNDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1550 NE 27TH ST STE 100, BEND, OR 97701
(541) 313-8111
(541) 313-8112
Mailing address
1550 NE 27TH ST STE 100, BEND, OR 97701-7728
(541) 313-8111
(541) 313-8112
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
MD163148
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12717004
CAQH:
OR
05
—
500654066
—
OR
Enumeration date
06/24/2008
Last updated
09/17/2020
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