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LIFESTYLE MEDICINE OF CENTRAL OREGON, PC
NPI 1013264456
Obstetrics & Gynecology - Gynecology in Bend, OR

Active since August 03, 2012
497 SW CENTURY DR, SUITE 120, BEND, OR 97702(541) 291-9960(541) 291-9961 Get Directions Write a Review

NPPES record last updated: April 16, 2013. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Lifestyle Medicine Of Central Oregon, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIFESTYLE MEDICINE OF CENTRAL OREGON, PC (NPI 1013264456) is a healthcare organization registered as a gynecology in Bend, Oregon and active in the NPI registry since August 2012. The organization lists Mary Huntsman, Owner, as its authorized official.

NPPES Registry Identity

NPI1013264456
Entity TypeOrganization
Primary Taxonomy207VG0400X
Legal Business NameLIFESTYLE MEDICINE OF CENTRAL OREGON, PC
Location Address497 SW CENTURY DR, SUITE 120Bend, OR 97702-1167
Mailing Address497 Sw Century Dr, Suite 120Bend, OR 97702-1167 · (541) 291-9960 · Fax (541) 291-9961
Phone(541) 291-9960
Fax(541) 291-9961
Organization SubpartNo
Authorized OfficialMary HuntsmanOwner · (541) 291-9960
Enumeration DateAugust 3, 2012
Last NPPES UpdateApril 16, 2013
✔ NPI 1013264456 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
License✔ Licensed in OR · MD17360
Definition
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
497 SW CENTURY DR, Bend, OR 97702
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JUSTINE CARPENTER LMT
Specialist
497 SW CENTURY DR, SUITE 120
BEND, OR 97702
Deschutes County (541) 480-1240
SENSENBACH SENIOR CARE, INC.
In Home Supportive Care
497 SW CENTURY DR, SUITE 102
BEND, OR 97702
Deschutes County (541) 330-6400
MIKALA SACCOMAN PHD
Psychologist
497 SW CENTURY DR, STE 104
BEND, OR 97702
Deschutes County (541) 678-5174
VIKING PAIN MANAGEMENT
Pain Medicine (Pain Medicine)
497 SW CENTURY DR, UNIT # 105
BEND, OR 97702
Deschutes County (509) 591-7105
DR. JACK FISCHER D.C.
Chiropractor
497 SW CENTURY DR, SUITE 120
BEND, OR 97702
Deschutes County (541) 382-6555
LEAH B SCHOCK PHD
Clinical Neuropsychologist
497 SW CENTURY DR, STE 104
BEND, OR 97702
Deschutes County (541) 678-5164
DR. MARY NORBURG HUNTSMAN MD
Obstetrics & Gynecology
497 SW CENTURY DR, SUITE 120
BEND, OR 97702
Deschutes County (541) 516-8440

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lifestyle Medicine Of Central Oregon, PC's NPI number?

The NPI number for Lifestyle Medicine Of Central Oregon, PC is 1013264456. It was assigned to this organization in the NPPES registry on August 3, 2012.

Where is Lifestyle Medicine Of Central Oregon, PC located?

Lifestyle Medicine Of Central Oregon, PC is located at 497 SW Century Dr Suite 120, Bend, OR 97702. The listed phone number is (541) 291-9960.

What is Lifestyle Medicine Of Central Oregon, PC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

When was this NPI record last updated?

The NPPES record for Lifestyle Medicine Of Central Oregon, PC was last updated on April 16, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.