National Provider Identifier Database

BEND PLASTIC RECONSTRUCTIVE SURGERY PC
Plastic and Reconstructive Surgery


Contact Information

BEND PLASTIC & RECONSTRUCTIVE SURGERY, P.C.
1239 NE MEDICAL CENTER DR STE 240
BEND, OR97701-7359
Phone: 541-749-2822
Fax: 541-749-2283
Website:
Specialty Taxonomy Code
* Plastic and Reconstructive Surgery 2086S0122X

* Indicates primary specialty

NPI Profile & details for BEND PLASTIC & RECONSTRUCTIVE SURGERY, P.C.

NPI Number 1447610803
Legal business name
LBN
BEND PLASTIC & RECONSTRUCTIVE SURGERY, P.C.
Authorized official ADAM ANGELES - (AUTHORIZED OFFICIAL)
Entity Organization
Organization subpart No
Enumeration date 02/28/2016
Last updated 12/05/2023 - About 2 years ago
Sole proprietor1 Not specified
Identifiers
  • OR License #: MD26066

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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