NPI 1649244393 · live from the CMS NPI Registry
Bend Dermatology Clinic LLC
Dermatology in Bend, OR. National Provider Identifier 1649244393, active.
NPI record
| NPI | 1649244393 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dermatology 207N00000X |
| Practice location | 2747 Ne Conners Ave, Bend, OR 97701 |
| Practice phone | 541-382-5712 |
| Enumerated | February 16, 2006 |
| Last updated | June 17, 2010 |
| Authorized official | Suzanne Maitland, Office Manager |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology primary | 207N00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.