Bend Dermatology Clinic

LBN: Mountain West Derm - Blackhart Pllc
Bend Dermatology Clinic 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. Mountain West Derm - Blackhart Pllc can be contacted via phone (541) 382-5712, or through Blackhart, Bret S via phone (775) 336-3624.

Contact Information

Primary practice address
2747 Ne Conners Ave Bend OR 97701-8738
Phone: (541) 382-5712
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Blackhart, Bret S Doctor of Medicine (MD)
Phone: (775) 336-3624

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X

Profile Details

NPI number 1447764741
LBN Legal business name Mountain West Derm - Blackhart Pllc
DBA Doing business as Bend Dermatology Clinic
Authorized official Blackhart, Bret S Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 22nd, 2017
Last updated Nov 22nd, 2017 - about 8 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.

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