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Organization

JOHNSON & CADE FAMILY PRACTICE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. TERRI KAY DUNSCOMB (OFFICE MANAGER)
(541) 389-4600
Entity
Organization

Contact information

Practice address
2088 NE KIM LN, STE A, BEND, OR 97701-6588
(541) 389-4600
(541) 312-9600
Mailing address
2088 NE KIM LN, STE A, BEND, OR 97701-6588
(541) 389-4600
(541) 312-9600

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
022547
OR
Enumeration date
07/15/2005
Last updated
07/21/2022
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