Central Oregon Pathology Consultants, PC
Organization Active NPI Anatomic Pathology & Clinical Pathology Physician · Bend, OR
NPI 1124140926 · NPPES record last updated May 28, 2026
Key facts
- NPI
- 1124140926
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician 207ZP0102X
- License
- 38D0628303 (OR)
- Legal business name
- CENTRAL OREGON PATHOLOGY CONSULTANTS, PC
- Practice address
- 1348 NE Cushing Dr
Suite 200
Bend, OR 97701-3876 - Phone
- (541) 382-7696
- Fax
- (541) 389-5723
- NPI assigned
- Apr 4, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Irene Czyszczon, DO
- Title
- Medical Director
- Phone
- (541) 382-7696
Practitioners 14
-
Irene Czyszczon, D.O.
-
Kerry Councilman, MD
-
Georgia Liles Tunstill, M.D.
-
Lukas Streich, MD
-
Bradley B Bryan, M.D.
-
Anna Marie Dolezal, M.D.
-
Brian K. Stewart, M.D.
-
Cheryl Younger, MD
-
Rebecca J Allred, MD
-
Marie Perrone, M.D.
-
Mark J. Zivney, MD
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 38D0628303 | Central Oregon Pathology Consultants | Compliance | Sep 19, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040421001470 | OR | Part B Supplier - Clinic/Group Practice | 2860488236 |
Receives reassigned benefits from 11 practitioners Practice locations: Bend, OR |
National Provider Directory
Locations
1302 NE 3rd St
Ste 2
Bend, OR 97701
Phone (503) 389-4420
1348 NE Cushing Dr
Bend, OR 97701
Phone (541) 382-7696
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician |
207ZP0102X | 38D0628303 | OR | Yes |
Addresses
Primary practice location
1348 NE Cushing Dr
Suite 200
Bend, OR 97701-3876
Mailing address
1348 NE Cushing Dr Ste 200
Bend, OR 97701-3876
Phone (541) 382-7696
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2391 | Other | OR | OREGON STATE LAB NUMBER |
| 38D0628303 | Other | OR | CLIA |
| 084004 | Medicaid | OR |
Other providers in Bend, OR
- Central Oregon Magnetic Resonance Imaging LLC
- Central Oregon Magnetic Resonance Imaging LLC
- Central Oregon Magnetic Resonance Imaging LLC
- Central Oregon Magnetic Resonance Imaging LLC
- Central Oregon Mobile Phlebotomy Services, LLC
- Central Oregon Pediatric Associates
- Central Oregon Pediatric Associates Subspecialty
- Central Oregon Perio
- Central Oregon Pharmacy Enterprises
- Central Oregon Radiology Assoc PC
All providers in Bend, OR · Anatomic Pathology & Clinical Pathology Physician in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 28, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.