Mountain West Derm - Blackhart PLLC
Mountain West Derm - Blackhart PLLC is a Dermatology Physician in Bend, Oregon. Registered with an NPI since 2017.
- In the registry since
- 2017
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2747 NE Conners AveBend, OR 97701-8738
Phone: (541) 382-5712
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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 | 1447764741 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Bret Blackhart — Md · (775) 336-3624 |
| Other names | Bend Dermatology Clinic |
| NPI enumerated | November 22, 2017 |
| Last updated in NPPES | November 22, 2017 |
| Mailing address | 640 W Moana Ln, Reno, NV 89509-4903 |
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Joshua Stafford May, MD
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MS. Kristin Jayne Neuhaus, MD
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