Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Lifestyle Medicine of Central Oregon, PC

Organization Gynecology Physician · NPI 1013264456

Lifestyle Medicine of Central Oregon, PC provides Gynecology Physician services 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 Not confirmed with CMS for 13 years — call before visiting
Phone: (541) 291-9960
Fax: (541) 291-9961
Show map & directions

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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