Healthcare Provider Details
I. General information
NPI: 1548554199
Provider Name (Legal Business Name): ALEKSANDER STEWART ROBLES MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 05/31/2011
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
701 NW ARIZONA AVE STE 200
BEND OR
97703-3298
US
IV. Provider business mailing address
701 NW ARIZONA AVE STE 200
BEND OR
97703-3298
US
V. Phone/Fax
- Phone: 458-281-5241
- Fax:
- Phone: 458-281-5241
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207V00000X |
| Taxonomy | Obstetrics & Gynecology Physician |
| License Number | MD192421 |
| License Number State | OR |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: