Ponderosa Medical

LBN: Ponderosa Medical
Ponderosa Medical is an health care organization with primary practice located at 1558 Sw Nancy Way Suite 101, Bend OR 97702-3216. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Ponderosa Medical can be contacted via phone (541) 312-8679, or through Lee, Gilbert B via phone (541) 312-8679.

Contact Information

Primary practice address
1558 Sw Nancy Way Suite 101 Bend OR 97702-3216
Phone: (541) 312-8679
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Lee, Gilbert B Doctor of Medicine (MD)
Phone: (541) 312-8679

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD12002 Oregon

Profile Details

NPI number 1710931274
LBN Legal business name Ponderosa Medical
DBA Doing business as
Authorized official Lee, Gilbert B Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 20th, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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