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Organization

BEND BIRTH CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JANETTE JOY GYESKY LM., CPM. (OWNER)
(541) 480-1401
Entity
Organization

Contact information

Practice address
375 NE FRANKLIN AVE, STE. G, BEND, OR 97701-4917
(541) 480-1401
(541) 749-2108
Mailing address
375 NE FRANKLIN AVE, STE. G, BEND, OR 97701-4917
(541) 480-1401
(541) 749-2108

Taxonomy

Speciality
Code
Description
License number
State
261QB0400X
Birthing Clinic/Center
Primary
07-1589
OR

Other

Enumeration date
12/31/2007
Last updated
12/31/2007
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