Organization · Type 2 NPI

Glenn M Koteen M.d., LLC

Medical Specialty Clinic/Center · Bend, OR

NPI number 1407021348 Active

Practice location

2450 NE Mary Rose Pl, Ste 210
Bend, OR 97701-7132

Fax (541) 647-5125

Specialties and licenses

TaxonomyCodeLicense
Medical Specialty Clinic/Center Primary 261QM2500XMD25338 (OR)

Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

23 other providers at this address

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About NPI 1407021348

Glenn M Koteen M.d., LLC's National Provider Identifier is 1407021348, issued on Apr 22, 2008. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Bend, OR. The record was last updated on Nov 14, 2008.