IndividualActive
Mary Dallas, MD
NPI 1568556934 · Internal Medicine Physician · Bend, OR
Provider details
- NPI number
- 1568556934
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- MD153008 (OR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2500 Ne Neff Rd
St. Charles Medical Group
Bend, OR 97701-6015
Phone: (541) 526-6556
Fax: (541) 706-3765
Street-level locationGet directions
Mailing address
Po Box 1420
Redmond, OR 97756-0400
Registry dates
- Enumerated
- 2006-10-03
- Last updated
- 2011-01-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.