Bend Dermatology Clinic Llc

LBN: Bend Dermatology Clinic Llc
Bend Dermatology Clinic Llc is an health care organization with primary practice located at 2747 Ne Conners Ave , Bend OR 97701-8738. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Bend Dermatology Clinic Llc can be contacted via phone (541) 382-5712, or through Maitland, Suzanne via phone (541) 382-5712.

Contact Information

Primary practice address
2747 Ne Conners Ave Bend OR 97701-8738
Phone: (541) 382-5712
Fax: (541) 382-2605
Website:
Map and Directions
Authorized official contact:
Name: Maitland, Suzanne
Phone: (541) 382-5712

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X

Profile Details

NPI number 1649244393
LBN Legal business name Bend Dermatology Clinic Llc
DBA Doing business as
Authorized official Maitland, Suzanne
Entity Organization
Organization subpart 1 No
Enumeration date Feb 16th, 2006
Last updated Jun 17th, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1649244393 NPPES
Oregon MEDICAID 286941

Popular Providers