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Active NPI 1083850689 Organization (Entity Type 2)

Bend Plastic & Reconstructive Surgery, Llc

Clinic/Center - Multi-Specialty • Bend, OR

About Bend Plastic & Reconstructive Surgery, Llc NPI 1083850689 Summary

Bend Plastic & Reconstructive Surgery, Llc is a verified healthcare organization specializing in Clinic/Center - Multi-Specialty operating in Bend, OR. Located at 1239 NE MEDICAL CENTER DR STE 240, this facility provides patient care and medical services under National Provider Identifier (NPI) 1083850689.

Administrative operations and authorized compliance are overseen by Adam Angeles (Medical Director).

The facility is associated with 3 linked healthcare practitioners providing clinical services. In addition to its main center, the organization maintains 2 secondary practice locations in the region.

Facility Location & Contact Primary Location

Facility Address

1239 Ne Medical Center Dr Ste 240

Bend, OR 977017359

Telephone 5417492282

Fax 5417492283

Authorized Official Information

Authorized Contact Name

DR. Adam Angeles , MD

Title / Role

Medical Director

Official Telephone

5417492282

Facility Classifications & Specialties

Clinic/Center - Multi-Specialty Primary Taxonomy

NUCC Taxonomy Code: 261QM1300X

Definition to come...

Affiliated Practitioners & Clinicians

Healthcare professionals and specialists practicing at this facility or affiliated group locations

3 Linked

Dr. Adam Angeles , MD NPI 1336209345

Surgery - Plastic and Reconstructive Surgery

Bend, OR

View Practitioner Profile →

Linda Watson , CHW NPI 1548962384

Community Health Worker

John Day, OR

View Practitioner Profile →

Dr. Shawna Clark , DNP, FNP NPI 1962798793

Nurse Practitioner - Family

John Day, OR

View Practitioner Profile →

Secondary Facility Locations

Verified branch offices, satellite clinics, and regional practice locations

2 Branches

235 S Canyon Blvd

John Day, OR 978451044

Phone: 5417492282

233 S Canyon Blvd

John Day, OR 978451044

Phone: 5417492282

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

8 Historical Events

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Updated Practice Location March 19, 2024

Registered at 1239 NE MEDICAL CENTER DR STE 240, BEND, OR 977017359 (Tel: 5417492282)

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Updated Business Mailing Address March 19, 2024

Registered at 1239 NE MEDICAL CENTER DR STE 240, BEND, OR 977017359 (Tel: 5417492282)

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NPI Profile Active January 02, 2009

NPI status registered as active in NPPES database

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Updated Practice Location January 02, 2009

Registered at 2400 NE NEFF RD, STE B, BEND, OR 977016752 (Tel: 5417492282)

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Updated Business Mailing Address January 02, 2009

Registered at 2400 NE NEFF RD, STE B, BEND, OR 977016752 (Tel: 5417492282)

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Organization / Clinic Name Updated January 02, 2009

Operating as BEND PLASTIC & RECONSTRUCTIVE SURGERY, LLC

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 02, 2009

Clinic/Center (License #MD26066 in OR)

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Initial NPI Registration & Enumeration January 02, 2009

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

Verified patient ratings, healthcare experiences, and facility photos

0 Reviews

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NPI Organization Metadata

NPI Number: 1083850689

Entity Type:

Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)

Enumeration Date: January 02, 2009

Last Update: March 19, 2024

Update or Correct Listing

Mailing Address

1239 Ne Medical Center Dr Ste 240

Bend, OR 977017359

Phone: 5417492282

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.

⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.