Individual
NADIA KATHERINE MOSTOVYCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2220 NW LABICHE LN STE 130, BEND, OR 97703-6748
(541) 728-2026
(541) 721-5402
Mailing address
2220 NW LABICHE LN STE 130, BEND, OR 97703-6748
(541) 728-2026
(541) 721-5402
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
036.163781
IL
207YS0123X
Facial Plastic Surgery Physician
Primary
MD214500
OR
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
D0086288
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/21/2012
Last updated
07/23/2026
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