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Search › Oregon › 171M00000X

Dustin Fanning-Painter, QMHA

NPI 1679011274 · on the registry since 2017

Practice

Address
1340 Nw Wall St
Bend, OR 97703
Phone
(541) 322-7500
Fax
(541) 322-7565
Organisation at this address
Walgreen Co
Premise Health Of Oregon Medical P C
Inferred from a shared address, not stated in the registry.
Clinicians at this address
56

Registry record

Primary taxonomy
171M00000X
171M00000X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2017-12-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon