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General NPI Number Information
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NPI Number | 1528220761
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Entity Type | Individual
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Provider Name | MICHAEL VARLEY D.O.
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Gender | Male
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Dates
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Enumeration Date | 06/30/2008
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Last Update Date | 01/23/2015
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Provider Practice Location Address
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Address Line | 1253 NW CANAL BLVD
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City | REDMOND
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State | OR
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Zip | 97756-1334
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Country | US
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Telephone | 541-548-8131
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 6096
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City | BEND
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State | OR
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Zip | 97708-6096
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Country | US
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Telephone | 541-548-8131
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | OT012452
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | DO170806
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License Number State | OR
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