NPI 1447713573 · live from the CMS NPI Registry
Dermatology Health Specialists, PC
Dermatology in Bend, OR. National Provider Identifier 1447713573, active.
NPI record
| NPI | 1447713573 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dermatology 207N00000X |
| Practice location | 1693 Sw Chandler Ave Ste 250, Bend, OR 97702 |
| Practice phone | 210-632-5544 |
| Mailing address | Po Box 831, Bend, OR 97709 |
| Enumerated | April 6, 2019 |
| Last updated | April 6, 2019 |
| Authorized official | Oliver Wisco, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology, MOHS-Micrographic Surgery | 207ND0101X | — |
| Dermatology primary | 207N00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.