Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mountain West Derm - Blackhart PLLC

Organization Dermatology Physician · NPI 1013557933

Mountain West Derm - Blackhart PLLC is a Dermatology Physician in Spokane Valley, Washington. Works from 3 locations. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
3
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1807 N Hutchinson Rd
Spokane Valley, WA 99212-2444
Phone: (509) 456-7414
Fax: (509) 624-0763
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1700 W Riverstone Dr, Coeur D Alene, ID 83814-5683 — (208) 770-2822
  • 5905 N Mayfair St Ste 200, Spokane, WA 99208-1127 — (509) 456-7414

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X
Dermatopathology Physician Taxonomy 207ND0900X
Procedural Dermatology Physician Taxonomy 207NS0135X

Record details

NPI number1013557933
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bret Blackhart — Owner · (775) 336-3624
Other names Advanced Dermatology & Skin Surgery
NPI enumeratedJanuary 8, 2020
Last updated in NPPESJanuary 8, 2020
Certification dateJanuary 8, 2020
Mailing address1807 N Hutchinson Rd, Spokane Valley, WA 99212-2444

Other providers in Spokane Valley