Laura Kelly Mavity
Internist Hospice and Palliative Medicine
2500 Ne Neff Rd St. Charles Medical Center - Bend
Bend
, Oregon 97701-6015
Laura Kelly Mavity
Internist Hospice and Palliative Medicine
2500 Ne Neff Rd St. Charles Medical Center - Bend
Bend
, Oregon 97701-6015
(541) 706-5880
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About
Features
Specialties
- Internist
- Hospice and Palliative Medicine
Languages spoken
- English
Location
First Address
- Laura Kelly Mavity
- 2500 Ne Neff Rd
- Bend, OR
- Zip : 97701-6015
- Phone : (541) 706-5880
Second Address
- Laura Kelly Mavity
- 2500 Ne Neff Rd St. Charles Medical Center - Bend
- Bend, OR
- Zip : 97701-6015
- Phone : (541) 706-5880
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207R00000X | Internist | MD25707 | OR |
| N | 111NI0900X | Internist | MD25707 | OR |
| Y | 207RH0002X | Hospice and Palliative Medicine | MD25707 | OR |
National Provider Identifier
| NPI | 1043395890 |
|---|---|
| Provider Name | Laura Kelly Mavity |
| First Address | Bend, OR 97701-6015 |
| Second Address | Bend, OR 97701-6015 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/10/2006 |
| Last Update Date | 17/04/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.