RICHARD C OMBREMBOWSKI
Physician Assistant


Address: 1939 Sw Troon Ave, Bend, OR 97702

RICHARD C OMBREMBOWSKI (Credential# 1204662) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2019. The license expiration date date is August 31, 2020. The license status is ACTIVE.

Business Overview

RICHARD C OMBREMBOWSKI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.003067. The credential type is physician assistant. The effective date is September 1, 2019. The expiration date is August 31, 2020. The business address is 1939 Sw Troon Ave, Bend, OR 97702. The current status is active.

Basic Information

Licensee Name RICHARD C OMBREMBOWSKI
Credential ID 1204662
Credential Number 23.003067
Credential Type Physician Assistant
Business Address 1939 Sw Troon Ave
Bend
OR 97702
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2014-03-12
Effective Date 2019-09-01
Expiration Date 2020-08-31
Refresh Date 2019-08-31

Other licenses

ID Credential Code Credential Type Issue Term Status
1211995 CSP.0056855 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2014-03-20 2015-03-01 - 2017-02-28 INACTIVE
1204928 23-TEMP Physician Assistant Temporary Permit - EXPIRED APPLICATION

Office Location

Street Address 1939 SW Troon Ave
City Bend
State OR
Zip Code 97702

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Rolf H Armstrong 376 Sw Bluff Drive, Bend, OR 97702 Professional Engineer 2020-02-01 ~ 2021-01-31
Seth Anderson 721 Sw Industrial Way, Bend, OR 97702 Architect 2019-08-01 ~ 2020-07-31
Linda S Proctor 19949 Porcupine Dr., Bend, OR 97702 Registered Nurse 2019-08-01 ~ 2020-07-31
Deborah L Shapiro · Hillan 789 Airpark Drive, Bend, OR 97702 Dental Hygienist 2004-02-27 ~ 2005-02-28
Anthony J Rosenthal 19237 Dutchman Court, Bend, OR 97702 Physician/surgeon 2007-06-26 ~ 2008-07-31
Sharon D Marlowe 19385 Cayuse Crater Ct, Bend, OR 97702 Registered Nurse 2006-09-11 ~ 2007-10-31
Ryan C Maloney 167 Se Taft Ave Apt B, Bend, OR 97702-1709 Physical Therapist 2020-04-01 ~ 2021-03-31
Robert Kinney Md 19570 Aster Ln, Bend, OR 97702-2111 Physician/surgeon 2020-03-01 ~ 2021-02-28
Kailey Hanks 61217 Ridgewater Loop, Bend, OR 97702-2280 Physical Therapist ~
Sigrid M Johnson 61151 Echo Hollow Rd, Bend, OR 97702-2543 Massage Therapist 2018-07-01 ~ 2020-06-30
Find all Licenses in zip 97702

Competitor

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City Bend
Zip Code 97702
License Type Physician Assistant
License Type + County Physician Assistant + Bend

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Improve Information

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Dataset Information

Data Provider Connecticut Department of Consumer Protection
Jurisdiction Connecticut
Related Datasets Connecticut Business Registrations, Connecticut Child Care Facilities

This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).

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