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NPI Code Detail

MEDICARE: CENTRAL OREGON BIRTH LLC

MEDICARE: CENTRAL OREGON BIRTH LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
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General Provider Information

NPI Number : 1952160228
Entity Type Code : Organization
Provider Name (Legal Business Name) : CENTRAL OREGON BIRTH LLC
Provider Business Mailing Address
First Line : 152 SW WESTPINE PL APT 3
Second Line :
City : BEND
State : OR
Zip : 97702-3125
Country : US
Telephone Number : 206-250-0742
Fax Number :
Provider Business Practice Location Address
First Line : 152 SW WESTPINE PL APT 3
Second Line :
City : BEND
State : OR
Zip : 97702-3125
Country : US
Telephone Number : 206-250-0742
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MS. JAIME E COLLADO
Credential :
Telephone Number : 206-250-0742
Provider Enumeration Date : 03/18/2024
Last Update Date : 03/18/2024

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Directions to “CENTRAL OREGON BIRTH LLC ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.