LIFESTYLE MEDICINE OF CENTRAL OREGON, PC – NPI #1013264456
Obstetrics & Gynecology

A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.

Health Care Provider Taxonomy Code for Obstetrics & Gynecology

LIFESTYLE MEDICINE OF CENTRAL OREGON, PC is a provider located in BEND, OR. NPPES has assigned the NPI number 1013264456 to LIFESTYLE MEDICINE OF CENTRAL OREGON, PC on August 03, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207VG0400X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology, specializing in Gynecology

The NPI profile was previously updated about 13 years ago on Apr 16, 2013. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LIFESTYLE MEDICINE OF CENTRAL OREGON, PC below.

NPI Profile for
LIFESTYLE MEDICINE OF CENTRAL OREGON, PC

NPI Number
1013264456
Enumeration Date

(about 14 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
LIFESTYLE MEDICINE OF CENTRAL OREGON, PC
Primary location
497 SW CENTURY DR
SUITE 120
BEND, OR 97702-1167
Phone: (541) 291-9960 Fax: (541) 291-9961
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MARY HUNTSMAN
OWNER
Phone: (541) 291-9960
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207VG0400X
- Obstetrics & Gynecology / Gynecology (Primary)		 OR MD17360

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.