Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Central Oregon Pediatric Associates Subspecialty

Organization Allergy & Immunology Physician · NPI 1053153452

Central Oregon Pediatric Associates Subspecialty is an Allergy & Immunology Physician in Bend, Oregon. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
4

Practice location Address checks out

2200 NE Professional Ct
Bend, OR 97701-6063
Phone: (541) 389-6313
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X
Allergy & Immunology Physician Taxonomy 207K00000X
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1053153452
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Valerie Shine — Director Of Finance · (541) 389-6313
NPI enumeratedJune 7, 2024
Last updated in NPPESJune 7, 2024
Certification dateJune 7, 2024
Mailing address2200 Ne Professional Ct, Bend, OR 97701-6063

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