Laura K Mavity Hospice/palliative Care
2500 Ne Neff Rd, St Charles Heart and Lung Specialists, Bend, OR 97701-6015


Laura K Mavity is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1043395890. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 6204917552. The primary specialty is HOSPICE/PALLIATIVE CARE. The organization is ST CHARLES HEALTH SYSTEM INC. The address is 2500 Ne Neff Rd, St Charles Heart and Lung Specialists, Bend, OR 97701-6015. The zip code is 97701.


Laura K Mavity · 2500 Ne Neff Rd, St Charles Heart and Lung Specialists, Bend, OR 97701-6015

Nation Provider ID 1043395890
PAC ID by PECOS 6204917552
Professional Enrollment ID I20080114000112
Last Name MAVITY
First Name LAURA
Middle Name K
Gender F
Medical School Name MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduation Year 1999
Primary Specialty HOSPICE/PALLIATIVE CARE
Secondary Specialties INTERNAL MEDICINE
Primary Specialty ST CHARLES HEALTH SYSTEM INC
Phone Number 5413881636
Group Practice PAC ID 8729111513
Number of Group Practice Members 150
Address 2500 NE NEFF RD
ST CHARLES HEART AND LUNG SPECIALISTS
BEND, OR 977016015
Claims Based Hospital Affiliation Claim Control Number (CCN): 380047
Legal Business Name: ST CHARLES MEDICAL CENTER - BEND
Claims Based Hospital Affiliation Claim Control Number (CCN): 380040
Legal Business Name: ST CHARLES MEDICAL CENTER - REDMOND
Professional accepts Medicare Assignment Y
Report Quality Measures Y

St Charles Health System Inc · Medicare Physician

Name Address Specialty
Willow Huffine 2500 Ne Neff Rd, Bend, OR 97701-6015 CLINICAL PSYCHOLOGIST
Cheryl Czapla 2965 Ne Conners Ave, Bend, OR 97701-7753 OBSTETRICS/GYNECOLOGY
Amy Tatom 2965 Ne Conners Ave, Bend, OR 97701-7753 NURSE PRACTITIONER
Robert Boone 1541 Nw Canal Blvd, Redmond, OR 97756-1341 HEMATOLOGY/ONCOLOGY
Claudia Barnes 2500 Ne Neff Rd, Bend, OR 97701-6015 CERTIFIED REGISTERED NURSE ANESTHETIST
Roza Pacifico 2965 Ne Conners Ave, Bend, OR 97701-7753 NURSE PRACTITIONER
Jennifer Laughlin 2500 Ne Neff Rd, Bend, OR 97701-6015 INTERNAL MEDICINE
Jessica Mazaitis 630 N Arrowleaf Trl, Sisters, OR 97759-2610 FAMILY PRACTICE
Noreen Miller 2500 Ne Neff Rd, Bend, OR 97701-6015 NURSE PRACTITIONER
Daniel Hagg 2500 Ne Neff Rd, Bend, OR 97701-6015 CRITICAL CARE (INTENSIVISTS)
Steven Greer 2500 Ne Neff Rd, Bend, OR 97701-6015 FAMILY PRACTICE
Brian Evans 2500 Ne Neff Rd, Bend, OR 97701-6015 CLINICAL PSYCHOLOGIST
Benjamin Eliason 2500 Ne Neff Rd, Bend, OR 97701-6015 PSYCHIATRY
Joseph Bachtold 2965 Ne Conners Ave, Bend, OR 97701-7753 FAMILY PRACTICE
Soni Andreini-poulsen 2965 Ne Conners Ave, Bend, OR 97701-7753 FAMILY PRACTICE
Angelina Zamboni 2965 Ne Conners Ave, Bend, OR 97701-7753 NURSE PRACTITIONER
Elizabeth Gualandi 2500 Ne Neff Rd, Bend, OR 97701-6015 EMERGENCY MEDICINE
Jeremy Brodhead 2965 Ne Conners Ave, Bend, OR 97701-7753 NURSE PRACTITIONER
Laura Shank 2500 Ne Neff Rd, Bend, OR 97701-6015 CLINICAL PSYCHOLOGIST
Hannah Renzi 2965 Ne Conners Ave, Bend, OR 97701-7753 CERTIFIED NURSE MIDWIFE

Zip 97701 · Hospice/palliative Care · Medicare Physician

Name Address Specialty
Richard Maunder 2965 Ne Conners Ave, Bend, OR 97701-7753 HOSPICE/PALLIATIVE CARE
Erin Reynolds 2965 Ne Conners Ave, Bend, OR 97701-7753 HOSPICE/PALLIATIVE CARE
Lisa Lewis 2075 Ne Wyatt Ct, Bend, OR 97701-7686 HOSPICE/PALLIATIVE CARE
Elizabeth Levesque 2965 Ne Conners Ave, Bend, OR 97701-7753 HOSPICE/PALLIATIVE CARE
Jennifer Blechman 2075 Ne Wyatt Ct, Bend, OR 97701-7686 HOSPICE/PALLIATIVE CARE

Zip 97701 · Medicare Physician

Name Address Specialty
Sarah Dawson 2965 Ne Conners Ave, Bend, OR 97701-7753 INTERNAL MEDICINE
Jeffrey Cobbs 1345 Nw Wall St, Bend, OR 97701-1967 CHIROPRACTIC
Bruce Mclellan 2500 Ne Neff Rd, Bend, OR 97701-6015 CARDIOVASCULAR DISEASE (CARDIOLOGY)
Jinnell Lewis 2965 Ne Conners Ave, Bend, OR 97701-7753 FAMILY PRACTICE
Edward Parton 2500 Ne Neff Rd, Bend, OR 97701-6015 ANESTHESIOLOGY
Candice Pacheco 2564 Ne Courtney Dr, Bend, OR 97701-7638 NURSE PRACTITIONER
Brad Ward 2200 Ne Neff Rd, Bend, OR 97701-4283 NEUROSURGERY
Sara Studt 2500 Ne Neff Rd, Bend, OR 97701-6015 ANESTHESIOLOGY
Arthur Parker 1501 Ne Medical Ctr Dr, Bend, OR 97701-6051 INTERNAL MEDICINE
Eric Walberg 1303 Ne Cushing Dr, Bend, OR 97701-3891 PHYSICAL THERAPY
Darlene Nastansky 1303 Ne Cushing Dr, Bend, OR 97701-3730 PHYSICIAN ASSISTANT
Stuart Johnson 1303 Ne Cushing Dr, Bend, OR 97701-3891 PHYSICAL THERAPY
Betty Groshong 2052 Ne 4th St, Bend, OR 97701-3825 CLINICAL SOCIAL WORKER
Christopher Green 2500 Ne Neff Rd, Bend, OR 97701-6015 CERTIFIED REGISTERED NURSE ANESTHETIST
Lisa Lewis 2075 Ne Wyatt Ct, Bend, OR 97701-7686 HOSPICE/PALLIATIVE CARE
Michael Tobey 141 Nw Greenwood Ave, Bend, OR 97701-2041 CHIROPRACTIC
Emily Karben 2450 Ne Mary Rose Place, Bend, OR 97701-7132 OPTOMETRY
Jessica Oddo 1302 Ne 3rd St, Bend, OR 97701-4333 NURSE PRACTITIONER
Aaron Askew 1303 Ne Cushing Dr, Bend, OR 97701-3730 ORTHOPEDIC SURGERY
Janet Foliano-kemp 2500 Ne Neff Rd, Bend, OR 97701-6015 CLINICAL PSYCHOLOGIST