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

Central Oregon ENT LLC - Ear Nose Throat and Facial Plastic Surgey

Organization Otolaryngology Physician · NPI 1902813884

Central Oregon ENT LLC - Ear Nose Throat and Facial Plastic Surgey is an Otolaryngology Physician in Bend, Oregon. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2450 NE Mary Rose Pl Ste 120
Bend, OR 97701-7132
Phone: (541) 312-6799
Fax: (541) 312-7050
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X

Record details

NPI number1902813884
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shelly Walden — Practice Manager · (541) 312-6798
NPI enumeratedAugust 2, 2006
Last updated in NPPESJanuary 17, 2024
Certification dateJanuary 17, 2024
Mailing address2450 Ne Mary Rose Pl, Suite 120, Bend, OR 97701-7132

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