Healthcare Provider Details

I. General information

NPI: 1295199404
Provider Name (Legal Business Name): KAREN LANGER AXTEN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/13/2016
Last Update Date: 04/07/2026
Certification Date: 04/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 NE NEFF RD
BEND OR
97701-6015
US

IV. Provider business mailing address

725 ALBANY ST SHAPIRO 5 & 6 BOSTON MEDICAL CENTER PI
BOSTON MA
02118-2526
US

V. Phone/Fax

Practice location:
  • Phone: 541-706-5800
  • Fax: 541-706-5911
Mailing address:
  • Phone: 617-414-5951
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number267532
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: