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

Lifestyle Medicine of Central Oregon, PC

Organization Gynecology Physician · NPI 1013264456

Lifestyle Medicine of Central Oregon, PC is a Gynecology Physician in Bend, Oregon. Licensed in Oregon. Registered with an NPI since 2012.

Licensed in
OR
In the registry since
2012
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

497 SW Century Dr Ste 120
Bend, OR 97702-1167
Phone: (541) 291-9960
Fax: (541) 291-9961
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gynecology Physician (primary) Taxonomy 207VG0400X · Licence MD17360 (OR)

Record details

NPI number1013264456
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mary Huntsman — Owner · (541) 291-9960
NPI enumeratedAugust 3, 2012
Last updated in NPPESApril 16, 2013
Mailing address497 Sw Century Dr, Suite 120, Bend, OR 97702-1167

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