OrganizationActive
Protean Dermatology Consulting, LLC
NPI 1326864059 · Dermatology Physician · Bend, OR
Protean Dermatology Consulting, LLC is a Dermatology Physician organization in Bend, OR (NPI 1326864059).
Provider details
- NPI number
- 1326864059
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- John Jackson, Physician Owner(855) 457-5593
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
360 Sw Bond St Ste 310
Bend, OR 97702-3556
Phone: (855) 457-5593
Street-level locationGet directions
Mailing address
360 Sw Bond St Ste 310
Bend, OR 97702-3556
Registry dates
- Enumerated
- 2024-11-26
- Last updated
- 2024-11-26
- Certified
- 2024-11-26
Frequently asked questions
- What is Protean Dermatology Consulting, LLC's NPI number?
- Protean Dermatology Consulting, LLC's National Provider Identifier (NPI) is 1326864059, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Protean Dermatology Consulting, LLC?
- Protean Dermatology Consulting, LLC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Protean Dermatology Consulting, LLC located?
- Protean Dermatology Consulting, LLC's practice location on file with NPPES is 360 Sw Bond St Ste 310, Bend, OR 97702-3556.
- What is Protean Dermatology Consulting, LLC's phone number?
- The practice phone number listed in the NPPES registry for Protean Dermatology Consulting, LLC is (855) 457-5593.
- Who is the authorized official for Protean Dermatology Consulting, LLC?
- The authorized official listed on Protean Dermatology Consulting, LLC's NPPES record is John Jackson, Physician Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Protean Dermatology Consulting, LLC's NPI active?
- Yes — Protean Dermatology Consulting, LLC's NPI (1326864059) is active in the NPPES registry as of the last update on 2024-11-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.