MOUNTAIN WEST DERM-BLACKHART, PLLC

TIGARD, OR
NPI1316656994
Entity TypeOrganization
Authorized ContactJEFFREY B SHACKELTON
Owner
775-283-4086
Organization Subpart ?Yes
Primary Taxonomy207N00000X Dermatology
Enumeration Date2022-11-22
Last Update Date2022-11-22
Business Address
MOUNTAIN WEST DERM-BLACKHART, PLLC
10215 SW HALL BLVD
TIGARD, OR 97223-8809
Phone number: 503-245-2415
Mailing Address
MOUNTAIN WEST DERM-BLACKHART, PLLC
10215 SW HALL BLVD
TIGARD, OR 97223-8809
Phone number: 503-245-2415
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