OrganizationActive
Lifestyle Medicine of Central Oregon, PC
NPI 1013264456 · Gynecology Physician · Bend, OR
Provider details
- NPI number
- 1013264456
- Entity type
- Organization
- Primary specialty
- Gynecology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mary Huntsman, Owner(541) 291-9960
- License
- MD17360 (OR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
497 Sw Century Dr
Suite 120
Bend, OR 97702-1167
Phone: (541) 291-9960
Fax: (541) 291-9961
Street-level locationGet directions
Mailing address
497 Sw Century Dr
Bend, OR 97702-1167
Registry dates
- Enumerated
- 2012-08-03
- Last updated
- 2013-04-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.