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 Ambulatory Surgical Clinic/Center · NPI 1619517539

Mountain West Derm - Blackhart PLLC is an Ambulatory Surgical Clinic/Center in Spokane Valley, Washington. Works from 2 locations. Registered with an NPI since 2020.

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

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Practice location Address checks out

1807 N Hutchinson Rd
Spokane Valley, WA 99212-2444
Phone: (509) 456-7414
Fax: (509) 624-0764
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1700 W Riverstone Dr, Coeur D Alene, ID 83814-5683 — (208) 770-2822

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X

Record details

NPI number1619517539
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

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