Mountain West Derm-Blackhart, PLLC
Mountain West Derm-Blackhart, PLLC is a Dermatology Physician in Tigard, Oregon. Registered with an NPI since 2022.
- In the registry since
- 2022
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
10215 SW Hall BlvdTigard, OR 97223-8809
Phone: (503) 245-2415
Fax: (503) 244-5963
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dermatology Physician (primary) | Taxonomy 207N00000X |
|---|
Record details
| NPI number | 1316656994 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Mountain West Derm-Blackhart, PLLC |
| Authorized official | Jeffrey Shackelton — Owner · (775) 283-4086 |
| NPI enumerated | November 22, 2022 |
| Last updated in NPPES | November 22, 2022 |
| Certification date | November 22, 2022 |
| Mailing address | 10215 Sw Hall Blvd, Tigard, OR 97223-8809 |
Other providers in Tigard
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Shobha N. Jetmalani, MD
18040 SW Lowr Boones Ferry RD Ste 100, Tigard, OR 97224-7258 · (503) 215-0700
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Dr. Stephen John Mannino, MD
10215 SW Hall Blvd, Tigard, OR 97223-8809 · (503) 245-2415
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Matthew Charles McClelland, MD
18040 SW Lowr Boones Ferry RD Ste 100, Tigard, OR 97224-7258 · (503) 216-0700
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Jessica N Mehta, MD
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Providence Health & Services - Oregon
18040 SW Lowr Boones Ferry RD Ste 100, Tigard, OR 97224-7215 · (503) 216-0700
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Providence Health & Services - Oregon
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-
Dr. Marla Ross, MD
10215 SW Hall Blvd, Tigard, OR 97223-8809 · (503) 245-2415
-
Sophia Sangar
10215 SW Hall Blvd, Tigard, OR 97223-8809 · (503) 245-2415