NPI 1841475803

Northwest Cosmetic Surgery, LLC

Organisation Plastic Surgery Physician Bend, OR

Practice location

Address: 777 SW Mill View Way Suite 100, Bend, OR 97702-1140
Phone: (541) 388-1022
Fax: (541) 322-7002
Mailing address: 777 SW Mill View Way STE 250, Bend, OR 97702-1140

Authorised official

Name: Gary Lyle Gallagher
Title: Manager/Member
Phone: (417) 283-1845

Registered specialties

Plastic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208200000X Licence MD21961 (OR)

Other Plastic Surgery providers in Oregon →

Registry record

NPI: 1841475803
Entity type: Organization
NPI issued: 8 Jan 2008
Record last updated: 2 Jan 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.