Healthcare Provider Details

I. General information

NPI: 1497824684
Provider Name (Legal Business Name): CENTRAL OREGON HOSPICE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/06/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2698 NE COURTNEY DR SUITE 101
BEND OR
97701-7637
US

IV. Provider business mailing address

2698 NE COURTNEY DR SUITE 101
BEND OR
97701-7637
US

V. Phone/Fax

Practice location:
  • Phone: 541-382-5882
  • Fax: 541-382-2960
Mailing address:
  • Phone: 541-382-5882
  • Fax: 541-382-2960

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. STEVEN D WESTBERG
Title or Position: CEO, ADMINISTRATOR
Credential: CPA
Phone: 541-382-5882