Individual
STEVEN RANDALL KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2200 NE NEFF RD STE 200, BEND, OR 97701-4281
(541) 382-3344
(541) 382-1681
Mailing address
2200 NE NEFF RD STE 200, BEND, OR 97701-4281
(541) 382-3344
(541) 382-1681
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA01236
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA01236
STATE OF OREGON MEDICAL LICENSE
OR
Enumeration date
08/09/2006
Last updated
04/02/2025
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