CENTRAL OREGON CLINICAL GENETICS CENTER LLC NPI 1740572221

NPI Information

CENTRAL OREGON CLINICAL GENETICS CENTER, LLC is a medical specialty clinic center in Bend, OR. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). CENTRAL OREGON CLINICAL GENETICS CENTER, LLC NPI is 1740572221. The provider is registered as an organization entity type.

The provider's business location address is:

143 SW SHEVLIN HIXON DR
SUITE #203
BEND, OR
ZIP 97702-189
Phone: (541) 749-8196
Fax: (541) 678-5466

The provider's authorized official is Osvaldo Antonio Schirripa .
The authorized official title is Director/owner and has the following contact phone number (541) 749-8196.

The enumeration date for this NPI number is 5/3/2011 and was last updated on 3/14/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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