Central Oregon Dermatology, Pc

LBN: Central Oregon Dermatology, Pc
Central Oregon Dermatology, Pc is an health care organization with primary practice located at 388 Sw Bluff Dr , Bend OR 97702-1360. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Central Oregon Dermatology, Pc can be contacted via phone (541) 678-0020, or through Haney, Jodi via phone (541) 323-2181.

Contact Information

Primary practice address
388 Sw Bluff Dr Bend OR 97702-1360
Phone: (541) 678-0020
Fax: (541) 383-2174
Website:
Map and Directions
Authorized official contact:
Name: Haney, Jodi Registered Health Information Technician (RHIT)
Phone: (541) 323-2181

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X MD26648 Oregon

Profile Details

NPI number 1336307875
LBN Legal business name Central Oregon Dermatology, Pc
DBA Doing business as
Authorized official Haney, Jodi Registered Health Information Technician (RHIT)
Entity Organization
Organization subpart 1 No
Enumeration date May 31st, 2008
Last updated Mar 7th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336307875 NPPES
Oregon Other MD26648 LICENSE
Oregon MEDICAID 241835 LICENSE
Oregon Other 1609815166 LICENSE

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