Ponderosa Medical
Ponderosa Medical is an Internal Medicine Physician in Bend, Oregon. Licensed in Oregon. Registered with an NPI since 2006.
- Licensed in
- OR
- In the registry since
- 2006
Practice location Address checks out
1558 SW Nancy Way Ste 101Bend, OR 97702-3216
Phone: (541) 312-8679
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Internal Medicine Physician (primary) | Taxonomy 207R00000X · Licence MD12002 (OR) |
|---|
Record details
| NPI number | 1710931274 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Gilbert Lee — Physician · (541) 312-8679 |
| NPI enumerated | May 20, 2006 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 1558 Sw Nancy Way, Suite 101, Bend, OR 97702-3216 |
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