Individual
MATTHEW MARDESICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
20370 POE SHOLES DR, BEND, OR 97703-7938
(541) 318-1377
Mailing address
21057 ARID AVE., BEND, OR 97703-7804
(949) 285-2733
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/09/2023
Last updated
10/09/2023
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