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

Northwest Cosmetic Surgery, LLC

Organization Plastic Surgery Physician · NPI 1841475803

Northwest Cosmetic Surgery, LLC is a Plastic Surgery Physician in Bend, Oregon. Licensed in Oregon. Registered with an NPI since 2008.

Licensed in
OR
In the registry since
2008
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

777 SW Mill View Way Ste 100
Bend, OR 97702-1140
Phone: (541) 388-1022
Fax: (541) 322-7002
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X · Licence MD21961 (OR)

Record details

NPI number1841475803
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gary Gallagher — Manager/Member · (417) 283-1845
NPI enumeratedJanuary 8, 2008
Last updated in NPPESJanuary 2, 2020
Certification dateJanuary 2, 2020
Mailing address777 Sw Mill View Way Ste 250, Bend, OR 97702-1140

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