Central Oregon Dermatology, Pc in Bend - Clinic/center

Central Oregon Dermatology, Pc - NPI 1336307875

Central Oregon Dermatology, Pc is a Clinic/center in Bend, Oregon. Central Oregon Dermatology, Pc practices all healthcare services and medical treatments related to Clinic/center. The NPI Number for Central Oregon Dermatology, Pc is 1336307875. The last update date is 2023-03-07.

Central Oregon Dermatology, Pc's current location address is 388 Sw Bluff Dr, Bend, Oregon. You can contact this provider via phone number 5416780020 and fax number 5413832174. The mailing address for Central Oregon Dermatology, Pc is 388 Sw Bluff Dr, Bend, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Organization Central Oregon Dermatology, Pc
Address 388 Sw Bluff Dr, Bend, Oregon
Phone Number 5416780020
Fax Number 5413832174
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OFFICE MAN
Authorized Official Name Haney Jodi
Credentials RHIT
Telephone Number 5413232181

NPI Number Detail

NPI Number 1336307875
Provider Enumeration Date 2008-05-31
Last Updated Date 2023-03-07

Provider Mailing Address Detail

Address 388 Sw Bluff Dr
City Bend
State Oregon (OR)
Post Code 977021360
Phone Number 5416780020
Fax Number 5413832174

Provider's Primary Taxonomy Detail

Speciality Clinic/center
Taxonomy 261Q00000X
Licence No MD26648
Definition:
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
MD26648 OR LICENSE
241835 OR --
1609815166 OR NPI (INDIVIDUAL)

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FAQs about Central Oregon Dermatology, Pc

What is the unique 10-digit identifier code issued to Central Oregon Dermatology, Pc by the Centers for Medicare & Medicaid Services?

The Central Oregon Dermatology, Pc has been assigned the NPI (National Provider Identifier) 1336307875 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Central Oregon Dermatology, Pc's facilities are situated?

The facilities of Central Oregon Dermatology, Pc are physically located at the following address: 388 Sw Bluff Dr, Bend, OR, 977021360.

What is Central Oregon Dermatology, Pc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Central Oregon Dermatology, Pc is Clinic/center, and the corresponding taxonomy classification code for this specialized field is 261Q00000X.

On what date did Central Oregon Dermatology, Pc receive its 1336307875 assignment from the Centers for Medicare & Medicaid Services?

The Central Oregon Dermatology, Pc was assigned its 1336307875 on 2008-05-31, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Central Oregon Dermatology, Pc last refreshed?

The information related to the Central Oregon Dermatology, Pc, including its address, specialty, and other relevant details, was last updated on 2023-03-07.

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