# MOSTOVYCH FACIAL PLASTIC SURGERY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** NADIA MD Facial Plastic Surgery and Aesthetics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538004171
- **Authorized official:** DR. NADIA MOSTOVYCH MD (MEMBER MANAGER)
- **Authorized official phone:** (240) 751-3172

## Contact information

- **Practice address:** 2220 NW LABICHE LN STE 130, BEND, OR 97703-6748
- **Practice address phone:** (541) 728-2026
- **Mailing address:** 2220 NW LABICHE LN STE 130, BEND, OR 97703-6748
- **Mailing address phone:** (541) 728-2026

## Taxonomy

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

## Other

- **Enumeration date:** 04/21/2026
- **Last updated:** 04/21/2026