Mountain West Derm-Blackhart, Pllc

NPI #1316656994 in Tigard, Oregon

Provider Information

NPI Number: 1316656994
Entity Type: Organization
Organization Name: Mountain West Derm-Blackhart, Pllc
Subpart: Yes (part of a larger organization)
Parent Organization: MOUNTAIN WEST DERM-BLACKHART, PLLC
Primary Specialty: Dermatology
Enumeration Date: Nov 22, 2022
Last Updated: Nov 22, 2022

Practice Location

Address: 10215 SW HALL BLVD
City: Tigard
State: Oregon
ZIP Code: 97223-8809
Phone: (503) 245-2415

Authorized Official

Name: JEFFREY B SHACKELTON
Title: OWNER
Phone: (775) 283-4086

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

Similar Providers

Provider Name	Specialty	City
Sophia Sangar	Dermatology	Tigard	AI Deep Dive
Heh Shin Racher Kwak, M.D.	Dermatology	Tigard	AI Deep Dive
DR. Eric J Hester, M.D.	Dermatology	Tigard	AI Deep Dive
Jessica N Mehta, MD	Dermatology	Tigard	AI Deep Dive
Matthew Charles Mcclelland, MD	Dermatology	Tigard	AI Deep Dive

Want to research this healthcare provider further?