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

Dr. Ryan P Gallivan, MD

Individual provider Otolaryngology Physician · NPI 1043292196

Dr. Ryan P Gallivan, MD is an Otolaryngology in Bend, Oregon. Graduated from Jefferson Medical College of Thomas Jefferson University in 1996, 30 years ago. Practices with Central Oregon ENT LLC - Ear Nose Throat and Facial Plastic Surgey, a 17-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Oregon.

Years since qualifying
30
Trained at
Jefferson Medical College of Thomas Jefferson University
Licensed in
OR
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2450 NE Mary Rose Pl Ste 120
Bend, OR 97701-7132
Phone: (541) 382-3100
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 · Licence 23746 (OR)

Record details

NPI number1043292196
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 15, 2005
Last updated in NPPESMarch 10, 2008
Mailing address2450 Ne Mary Rose Pl, Suite 120, Bend, OR 97701-7132

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOTOLARYNGOLOGY
Medical schoolJEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Graduated 1996 (30 years in practice)
Group practice Central Oregon Ent Llc - Ear Nose Throat And Facial Plastic Surgey — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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