Organization
DESCHUTES FAMILY CARE, LLC
Active
Other names
Deschutes Family Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK EDWARD GONSKY DO (OWNER)
(541) 323-3960
Entity
Organization
Contact information
Practice address
1345 NW WALL ST, SUITE 302, BEND, OR 97703-1972
(541) 323-3960
(541) 323-3961
Mailing address
1345 NW WALL ST, SUITE 302, BEND, OR 97703-1972
(541) 323-3960
(541) 323-3961
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
DO 155003
OR
Other
Enumeration date
11/24/2015
Last updated
01/10/2024
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