Provider Demographics
NPI:1952589772
Name:BLEYER, WERNER A (MD)
Entity Type:Individual
Prefix:
First Name:WERNER
Middle Name:A
Last Name:BLEYER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:W.
Other - Middle Name:ARCHIE
Other - Last Name:BLEYER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:2884 NW HORIZON DR
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97701-5426
Mailing Address - Country:US
Mailing Address - Phone:541-617-9259
Mailing Address - Fax:541-706-6341
Practice Address - Street 1:2884 NW HORIZON DR
Practice Address - Street 2:
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97701-5426
Practice Address - Country:US
Practice Address - Phone:541-617-9259
Practice Address - Fax:541-706-6341
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-04
Last Update Date:2008-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD264812080P0207X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0207XAllopathic & Osteopathic PhysiciansPediatricsPediatric Hematology-Oncology