MOUNTAIN WEST DERM-BLACKHART, PLLC
NPI 1316656994
Dermatology in Tigard, OR

Active since November 22, 2022
10215 SW HALL BLVD, TIGARD, OR 97223(503) 245-2415(503) 244-5963 Get Directions Write a Review

NPPES record last updated: November 22, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mountain West Derm-blackhart, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOUNTAIN WEST DERM-BLACKHART, PLLC (NPI 1316656994) is a healthcare organization registered as a dermatology in Tigard, Oregon and active in the NPI registry since November 2022. The organization lists Jeffrey B Shackelton, Owner, as its authorized official.

NPPES Registry Identity

NPI1316656994
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameMOUNTAIN WEST DERM-BLACKHART, PLLC
Location Address10215 SW HALL BLVDTigard, OR 97223-8809
Mailing Address10215 Sw Hall BlvdTigard, OR 97223-8809 · (503) 245-2415 · Fax (503) 244-5963
Fax(503) 244-5963
Organization SubpartYes
Authorized OfficialJeffrey B ShackeltonOwner · (775) 283-4086
Enumeration DateNovember 22, 2022
NPPES CertifiedNovember 22, 2022
NPI 1316656994 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
10215 SW HALL BLVD, Tigard, OR 97223

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dermatology
10215 SW HALL BLVD
TIGARD, OR 97223
Dermatology
10215 SW HALL BLVD
TIGARD, OR 97223
Physician Assistant (Medical)
10215 SW HALL BLVD
TIGARD, OR 97223
Physician Assistant
10215 SW HALL BLVD
TIGARD, OR 97223
Dermatology
10215 SW HALL BLVD
TIGARD, OR 97223
Nurse Practitioner (Family)
10215 SW HALL BLVD
TIGARD, OR 97223
Dermatology
10215 SW HALL BLVD
TIGARD, OR 97223
Dermatology
10215 SW HALL BLVD
TIGARD, OR 97223

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mountain West Derm-Blackhart, PLLC's NPI number?

The NPI number for Mountain West Derm-Blackhart, PLLC is 1316656994. It was assigned to this organization in the NPPES registry on November 22, 2022.

Where is Mountain West Derm-Blackhart, PLLC located?

Mountain West Derm-Blackhart, PLLC is located at 10215 SW Hall Blvd, Tigard, OR 97223. The listed phone number is (503) 245-2415.

What is Mountain West Derm-Blackhart, PLLC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

What insurance does Mountain West Derm-Blackhart, PLLC accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Oregon list Mountain West Derm-Blackhart, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mountain West Derm-Blackhart, PLLC was last updated on November 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.