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