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

Kathleen C Antolak, MD

Individual provider Family Medicine Physician · NPI 1316975741

Kathleen C Antolak, MD is a Family Medicine Physician in Bend, Oregon. Licensed in Oregon. Registered with an NPI since 2006.

Licensed in
OR
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1501 NE Medical Center Dr
Bend, OR 97701-6051
Phone: (541) 382-2811
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD23421 (OR)
Specialist Taxonomy 174400000X · Licence MD23421 (OR)

Record details

NPI number1316975741
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 28, 2006
Last updated in NPPESJanuary 29, 2021
Certification dateJanuary 29, 2021

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