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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MARY ANGELA DALLAS MD
NPI 1568556934
Internal Medicine in Bend, OR

Active since October 03, 2006
2500 NE NEFF RD, ST. CHARLES MEDICAL GROUP, BEND, OR 97701(541) 526-6556(541) 706-3765 Get Directions Write a Review

NPPES record last updated: September 29, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Mary Angela Dallas Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY ANGELA DALLAS MD (NPI 1568556934) is an individual internal medicine provider in Bend, Oregon, licensed in New Mexico (93286) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1568556934
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameMARY ANGELA DALLASCredential: MD
Location Address2500 NE NEFF RD, ST. CHARLES MEDICAL GROUPBend, OR 97701-6015
Mailing AddressPo Box 1420, St. Charles Medical GroupRedmond, OR 97756-0400 · (541) 526-6556 · Fax (541) 706-3765
Phone(541) 526-6556
Fax(541) 706-3765
Sole ProprietorNo
Enumeration DateOctober 3, 2006
Last NPPES UpdateSeptember 29, 2026
✔ NPI 1568556934 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in NM · 93286✔ Licensed in OR · MD153008
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2500 NE NEFF RD, Bend, OR 97701
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Other Identifiers 1

Medicaid8785NM

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALANNA MOZENA MD
Internal Medicine
2500 NE NEFF RD
BEND, OR 97701
Deschutes County (541) 706-6892
JAQUELINE L CAMPAGNA PT
Physical Therapist
2500 NE NEFF RD
BEND, OR 97701
Deschutes County (541) 382-4321
ASHLEY MARIE TWYMAN MD
Hospitalist
2500 NE NEFF RD
BEND, OR 97701
Deschutes County (541) 706-6892
NICOLE KOSMIDER
Anesthesiology
2500 NE NEFF RD
BEND, OR 97701
Deschutes County (888) 333-1095
SAMANTHA MULLIS NNP
Nurse Practitioner (Neonatal, Critical Care)
2500 NE NEFF RD
BEND, OR 97701
Deschutes County (541) 382-4321
JEAN M BROWN PA-C
Physician Assistant
2500 NE NEFF RD
BEND, OR 97701
Deschutes County (541) 388-1636
BENJAMIN BRUNO BARSOTTI MD
Pediatrics
2500 NE NEFF RD
BEND, OR 97701
Deschutes County (541) 706-6892
DR. NICHOLAS SONG BOEHLING M.D.
Radiology (Radiation Oncology)
2500 NE NEFF RD
BEND, OR 97701
Deschutes County (541) 706-5800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Dallas's NPI number?

The NPI number for Mary Dallas is 1568556934. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Where is Mary Dallas located?

Mary Dallas practices at 2500 NE Neff Rd St. Charles Medical Group, Bend, OR 97701. The listed phone number is (541) 526-6556.

What is Mary Dallas's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Mary Dallas was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.