Healthcare Provider Details

I. General information

NPI: 1942292305
Provider Name (Legal Business Name): MARLENE ANNE COVEY M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/21/2005
Last Update Date: 07/17/2025
Certification Date: 07/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

64670 STRICKLER AVE STE 101
BEND OR
97703-6648
US

IV. Provider business mailing address

735 SW OTTER WAY
BEND OR
97702-1894
US

V. Phone/Fax

Practice location:
  • Phone: 541-728-8041
  • Fax:
Mailing address:
  • Phone: 541-728-8041
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code405300000X
TaxonomyPrevention Professional
License NumberMD26887
License Number StateOR
# 2
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberMD26887
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: