Organization
ENDOCRINOLOGY SERVICES NORTHWEST, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL MICHAEL MCCARTHY (MANAGER)
(541) 815-1409
Entity
Organization
Contact information
Practice address
2084 NE PROFESSIONAL CT, BEND, OR 97701-6077
(541) 317-5600
(541) 317-5676
Mailing address
PO BOX 490, BEND, OR 97709-0490
(541) 330-2641
(541) 388-3832
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
MD26567
OR
207UN0902X
Nuclear Imaging & Therapy Physician
MD26567
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
131805
—
OR
05
—
278317
—
OR
Enumeration date
11/25/2008
Last updated
11/17/2010
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