# BEND ANESTHESIOLOGY GROUP, PC

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

## Provider details

- **NPI number:** 1467400200
- **Authorized official:** RANDALL CARL SMITH MD (PRESIDENT)
- **Authorized official phone:** (503) 372-2740

## Contact information

- **Practice address:** 2500 NE NEFF RD, BEND, OR 97701-6015
- **Practice address phone:** (541) 382-4321
- **Mailing address:** PO BOX 4008, PORTLAND, OR 97208-4008
- **Mailing address phone:** (503) 372-2740
- **Mailing address fax:** (503) 372-2754

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | N/A | NULL | Yes |
| 207L00000X | Anesthesiology Physician | N/A | — | Yes |

## Other

- **Enumeration date:** 05/04/2006
- **Last updated:** 08/22/2020