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Mountain West Derm - Blackhart PLLC — NPI 1447764741, Bend, OR | NPI Central

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NPI 1447764741

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Mountain West Derm - Blackhart PLLC

NPI 1447764741 · Dermatology Physician · Bend, OR

Provider details

NPI number: 1447764741
Entity type: Organization
Primary specialty: Dermatology PhysicianAllopathic & Osteopathic Physicians
Organization subpart: No
Authorized official: Bret Blackhart, MD(775) 336-3624

Specialties & taxonomies

Dermatology PhysicianPrimary207N00000X
Allopathic & Osteopathic Physicians

Practice location

2747 Ne Conners Ave

Bend, OR 97701-8738

Phone: (541) 382-5712

Approximate (ZIP-level) locationGet directions

More OR providers

Mailing address

640 W Moana Ln

Reno, NV 89509-4903

Other names (DBA / former)

Doing business as: Bend Dermatology Clinic

Registry dates

Enumerated: 2017-11-22
Last updated: 2017-11-22

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.