Mary James Mcallister
Family Doctor - Addiction Medicine
711 Ne Irving Ave
Bend
, Oregon 97701-4738
Mary James Mcallister
Family Doctor - Addiction Medicine
711 Ne Irving Ave
Bend
, Oregon 97701-4738
(541) 330-9112
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About
Features
Specialties
- Family Doctor - Addiction Medicine
Languages spoken
- English
Location
First Address
- Mary James Mcallister
- 711 Ne Irving Ave
- Bend, OR
- Zip : 97701-4738
- Fax : (541) 330-9112
- Phone : (541) 330-9110
Second Address
- Mary James Mcallister
- 711 Ne Irving Ave
- Bend, OR
- Zip : 97701-4738
- Fax : (541) 330-9112
- Phone : (541) 330-9110
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QA0401X | Family Doctor - Addiction Medicine | DO17061 | OR |
National Provider Identifier
| NPI | 1316929821 |
|---|---|
| Provider Name | Mary James Mcallister |
| First Address | Bend, OR 97701-4738 |
| Second Address | Bend, OR 97701-4738 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/11/2005 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| C98282 | (02) |
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.