OrganizationActive
Glenn M Koteen M.D., LLC
NPI 1407021348 · Medical Specialty Clinic/Center · Bend, OR
Provider details
- NPI number
- 1407021348
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Glenn Koteen, Owner/Physician(541) 728-0535
- License
- MD25338 (OR)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
2450 Ne Mary Rose Pl
Ste 210
Bend, OR 97701-7132
Phone: (541) 728-0535
Fax: (541) 647-5125
Approximate (ZIP-level) locationGet directions
Mailing address
2450 Ne Mary Rose Pl
Bend, OR 97701-7132
Other names (DBA / former)
- Doing business as
- Gastroenterology of Central Oregon
Registry dates
- Enumerated
- 2008-04-22
- Last updated
- 2008-11-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.