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Contact Information

ANTHONY J FILLMORE, MD
1501 NE MEDICAL CENTER DR
BEND, OR97701-6051
 Phone: 541-382-2811
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
 

Surgery of the Hand

2086S0105X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for ANTHONY J FILLMORE · (Male)

NPI Number 1982680518
Status Active
Credentials MD
Entity Individual
Enumeration date 12/15/2005
Last updated 07/02/2025 - About 11 months ago
Sole proprietor 1 No
Identifiers
  • OR License # MD172665
  • TX License # K5524
  • OR Medicaid 500687985
  • TX Medicaid 150379901
  • OR Other MD172665 OR-LICENSE
Hospital affiliation(s)
  • ST CHARLES MEDICAL CENTER - BEND - (Acute Care)
    2500 NE NEFF ROAD
    BEND, OR 97701
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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