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Individual

DR. JEAN S VERHEYDEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2450 NE MARY ROSE PL, SUITE 120, BEND, OR 97701-7132
(541) 382-3100
(541) 312-7050
Mailing address
2450 NE MARY ROSE PL, SUITE 120, BEND, OR 97701-7132
(541) 382-3100
(541) 312-7050

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
25065
OR
207YX0602X
Otolaryngic Allergy Physician
Primary
MD25065
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
286590
OR
Enumeration date
11/15/2005
Last updated
03/12/2010
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