Organization
NORTHWEST COSMETIC SURGERY HOLDINGS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA K NELSON MD (PRESIDENT AND SECRETARY)
(541) 388-1022
Entity
Organization
Contact information
Practice address
777 SW MILL VIEW WAY STE 100, BEND, OR 97702-1140
(541) 388-1022
(541) 322-7002
Mailing address
777 SW MILL VIEW WAY STE 100, BEND, OR 97702-1140
(541) 388-1022
(541) 322-7002
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
12/19/2019
Last updated
12/19/2019
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