NPIMap

Organization Active NPI

Central Oregon Pathology Consultants, PC

  • Anatomic Pathology & Clinical Pathology Physician
  • Bend, OR
National Provider Identifier
1124140926
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
38D0628303 Issued in 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
Last updated
May 28, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Irene Czyszczon, DONPI 1699949222
Title
Medical Director
Phone
(541) 382-7696

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207ZP0102X 38D0628303 OR Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040421001470 OR Part B Supplier - Clinic/Group Practice 2860488236 Receives reassigned benefits from 11 practitioners
Practice locations: Bend, OR

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
38D0628303Central Oregon Pathology Consultants1348 NE Cushing Dr Suite 200, Bend, OR 97701ComplianceSep 19, 2026

National Provider Directory

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

1348 NE Cushing Dr
Ste 200
Bend, OR 97701
Phone (541) 382-7696

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779926400000",
    "number": "1124140926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1348 NE CUSHING DR STE 200",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977013876",
            "telephone_number": "541-382-7696",
            "fax_number": "541-389-5723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1348 NE CUSHING DR",
            "address_2": "SUITE 200",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977013876",
            "telephone_number": "541-382-7696",
            "fax_number": "541-389-5723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL OREGON PATHOLOGY CONSULTANTS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A",
        "authorized_official_last_name": "CZYSZCZON",
        "authorized_official_first_name": "IRENE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "541-382-7696",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "OR",
            "license": "38D0628303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.