- Practice location
- 2705 NE Conners Ave, Bend, OR 97701-6904
- Phone
- 541-382-5712
- Fax
- 541-382-2605
- Last updated
- May 16, 2012
Bend Dermatology Clinic LLC is a healthcare organization based in Bend, OR. Bend Dermatology Clinic LLC practices in Bend, OR. The NPI Number for Bend Dermatology Clinic LLC is 1548412224 and holds a License No. 38D0628271 (OR). The current practice location address for Bend Dermatology Clinic LLC is 2705 NE Conners Ave, Bend, OR 97701-6904 and can be reached out via phone at 541-382-5712 and via fax at 541-382-2605.
Provider Profile Details
- NPI Number
- 1548412224
- Provider Name
- Bend Dermatology Clinic LLC
- Provider Entity Type
- Organization
- Address
- 2705 NE Conners Ave, Bend, OR 97701-6904
- Phone Number
- 541-382-5712
- Fax Number
- 541-382-2605
- Primary Taxonomy
- Clinical Medical Laboratory · 291U00000X
- Organization Subpart
- Yes
- Parent Organization
- Bend Dermatology Clinic LLC
- Authorized Official
- Mrs. Suzanne R Maitland · Administrator · 541-322-1980
- Other Names
- Cascadia Histopathology (Doing Business As)
- Provider Enumeration Date
- October 14, 2008
- Last Update Date
- May 16, 2012
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2705 NE Conners Ave
Bend, OR 97701-6904 - City
- Bend
- State
- Oregon
- Zip
- 97701-6904
- Phone Number
- 541-382-5712
- Fax Number
- 541-382-2605
Provider Business Mailing Address Details
- Address
- 2747 NE Conners Ave
Bend, OR 97701-8738 - City
- Bend
- State
- OR
- Zip
- 97701-8738
- Phone Number
- 541-382-5712
- Fax Number
- 541-382-2605
License Information
- License Number
- 38D0628271
- License State
- OR
- Taxonomy
- Clinical Medical Laboratory · 291U00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Bend Dermatology Clinic LLC?
The NPI number of Bend Dermatology Clinic LLC is 1548412224. It was assigned on October 14, 2008 and is currently active in the NPPES registry.
What is the specialty of Bend Dermatology Clinic LLC?
Bend Dermatology Clinic LLC is registered under the primary taxonomy Clinical Medical Laboratory (code 291U00000X), licensed in OR under license number 38D0628271.
Where does Bend Dermatology Clinic LLC practice?
The practice location is 2705 NE Conners Ave, Bend, OR 97701-6904. The office can be reached at 541-382-5712 (phone) or 541-382-2605 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1548412224 directly on the NPPES registry website.