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

Mr. Robert William Dolan, PA-C

Individual provider Physician Assistant · NPI 1508400979

Mr. Robert William Dolan, PA-C is a Physician Assistant in Bend, Oregon. Qualified in 2019, 7 years ago. Practices with St Charles Health System Inc, a 383-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
7
Licensed in
OR
In the registry since
2019
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2200 NE Neff Rd Ste 200
Bend, OR 97701-4281
Phone: (541) 382-3344
Fax: (541) 382-1681
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1600 State St, Salem, OR 97301-4257 — (503) 540-6400

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA192557 (OR)
Physician Assistant Taxonomy 363A00000X · Licence PA192557 (OR)

Record details

NPI number1508400979
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 29, 2019
Last updated in NPPESMarch 4, 2025
Certification dateMarch 4, 2025
Mailing address1600 State St, Salem, OR 97301-4257

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice St Charles Health System Inc — 383 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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