# MICHAEL E VILLANO MD LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124202346
- **Authorized official:** MICHAEL E VILLANO M.D. (OWNER)
- **Authorized official phone:** (541) 312-1145

## Contact information

- **Practice address:** 431 NE REVERE AVE, 110, BEND, OR 97701-4189
- **Practice address phone:** (541) 312-1145
- **Practice address fax:** (541) 312-8816
- **Mailing address:** 431 NE REVERE AVE STE 110, BEND, OR 97701-4189
- **Mailing address phone:** (541) 312-1145
- **Mailing address fax:** (541) 312-8816

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207YS0123X | Facial Plastic Surgery Physician | — | NULL | Yes |
| 207YS0123X | Facial Plastic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/24/2007
- **Last updated:** 03/24/2015