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BEND PLASTIC & RECONSTRUCTIVE SURGERY P.C. NPI 1447610803


NPI Information

NPI: 1447610803
Provider Name: BEND PLASTIC & RECONSTRUCTIVE SURGERY, P.C.
Classification: Surgery - 2086S0122X
Entity Type: Organization

Specialization: Plastic and Reconstructive Surgery

Address:
1239 NE MEDICAL CENTER DR STE 240
BEND, OR
ZIP 97701
Phone: (541) 749-2822
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BEND PLASTIC & RECONSTRUCTIVE SURGERY, P.C. is a plastic and reconstructive surgery surgery in Bend, OR. The provider is a surgeon who specializes in plastic and reconstructive surgery. BEND PLASTIC & RECONSTRUCTIVE SURGERY, P.C. NPI is 1447610803. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1239 NE MEDICAL CENTER DR STE 240
BEND, OR
ZIP 97701-359
Phone: (541) 749-2822
Fax: (541) 749-2283

The provider's authorized official is Adam P Angeles .
The authorized official title is Authorized Official and has the following contact phone number (541) 784-7848.

The enumeration date for this NPI number is 2/28/2016 and was last updated on 12/5/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12086S0122XSurgeryPlastic and Reconstructive SurgeryMD26066OREGONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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