Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Cardiothoracic Surgeon, PC

Organization Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · NPI 1699706408

Cardiothoracic Surgeon, PC is a Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Bend, Oregon. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2705 NE Conners Ave #100
Bend, OR 97701-6904
Phone: (541) 388-1636
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (primary) Taxonomy 208G00000X

Record details

NPI number1699706408
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Blizzard — Employee · (541) 388-1636
NPI enumeratedJuly 6, 2006
Last updated in NPPESAugust 22, 2020
Mailing address2705 Ne Conners Ave, 100, Bend, OR 97701-6904

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