Individual provider · Type 1 NPI

Robert William Dolan, PA-C

Surgical Physician Assistant · Bend, OR

NPI number 1508400979 Active

Practice location

2200 NE Neff Rd Ste 200
Bend, OR 97701-4281

Fax (541) 382-1681

Mailing address

1600 State St
Salem, OR 97301-4257

Other practice locations

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

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA192557 (OR)
Surgical Physician Assistant Primary 363AS0400XPA192557 (OR)

Surgical Physician Assistant: Definition to come...

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About NPI 1508400979

Robert William Dolan, PA-C's National Provider Identifier is 1508400979, issued on Oct 29, 2019. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Bend, OR. The record was last updated on Mar 4, 2025.