Mountain West Derm-Blackhart, Pllc

LBN: Mountain West Derm-Blackhart, Pllc
Mountain West Derm-Blackhart, Pllc is an health care organization with primary practice located at 10215 Sw Hall Blvd , Tigard OR 97223-8809. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Mountain West Derm-Blackhart, Pllc can be contacted via phone (503) 245-2415, or through Shackelton, Jeffrey B via phone (775) 283-4086.

Contact Information

Primary practice address
10215 Sw Hall Blvd Tigard OR 97223-8809
Phone: (503) 245-2415
Fax: (503) 244-5963
Website:
Map and Directions
Authorized official contact:
Name: Shackelton, Jeffrey B
Phone: (775) 283-4086

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X

Profile Details

NPI number 1316656994
LBN Legal business name Mountain West Derm-Blackhart, Pllc
DBA Doing business as
Authorized official Shackelton, Jeffrey B
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 22nd, 2022
Last updated Nov 22nd, 2022 - about 4 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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