# BEND PLASTIC & RECONSTRUCTIVE SURGERY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** BEND PLASTIC SURGERY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083850689
- **Authorized official:** DR. ADAM PETER ANGELES MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (541) 749-2282

## Contact information

- **Practice address:** 1239 NE MEDICAL CENTER DR STE 240, BEND, OR 97701-7359
- **Practice address phone:** (541) 749-2282
- **Practice address fax:** (541) 749-2283
- **Mailing address:** 1239 NE MEDICAL CENTER DR STE 240, BEND, OR 97701-7359
- **Mailing address phone:** (541) 749-2282
- **Mailing address fax:** (541) 749-2283

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | MD26066 | OR | Yes |

## Other

- **Enumeration date:** 01/02/2009
- **Last updated:** 03/19/2024