Central Oregon Dermatology, PC
NPI 1336307875 · Clinic/Center · Bend, OR
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Central Oregon Dermatology, PC is a Clinic/Center organization in Bend, OR (NPI 1336307875).
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
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
Mailing address
Registry dates
- Enumerated
- 2008-05-31
- Last updated
- 2023-03-07
Frequently asked questions
- What is Central Oregon Dermatology, PC's NPI number?
- Central Oregon Dermatology, PC's National Provider Identifier (NPI) is 1336307875, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Central Oregon Dermatology, PC?
- Central Oregon Dermatology, PC is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Central Oregon Dermatology, PC located?
- Central Oregon Dermatology, PC's practice location on file with NPPES is 388 Sw Bluff Dr, Bend, OR 97702-1360.
- What is Central Oregon Dermatology, PC's phone number?
- The practice phone number listed in the NPPES registry for Central Oregon Dermatology, PC is (541) 678-0020.
- Does Central Oregon Dermatology, PC accept Medicare?
- Central Oregon Dermatology, PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Central Oregon Dermatology, PC?
- The authorized official listed on Central Oregon Dermatology, PC's NPPES record is Jodi Haney, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Central Oregon Dermatology, PC's NPI active?
- Yes — Central Oregon Dermatology, PC's NPI (1336307875) is active in the NPPES registry as of the last update on 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.