OrganizationActive
Central Oregon Dermatology, PC
NPI 1336307875 · Clinic/Center · Bend, OR
Provider details
- NPI number
- 1336307875
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jodi Haney, Office Manager(541) 323-2181
- License
- MD26648 (OR)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs 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
388 Sw Bluff Dr
Bend, OR 97702-1360
Phone: (541) 678-0020
Fax: (541) 383-2174
Street-level locationGet directions
Mailing address
388 Sw Bluff Dr
Bend, OR 97702-1360
Registry dates
- Enumerated
- 2008-05-31
- Last updated
- 2023-03-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.