PROTEAN DERMATOLOGY CONSULTING, LLC
NPI 1326864059
Dermatology in Bend, OR

Active since November 26, 2024
360 SW BOND ST STE 310, BEND, OR 97702(855) 457-5593 Get Directions Write a Review

NPPES record last updated: November 26, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Protean Dermatology Consulting, Llc NPPES

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

PROTEAN DERMATOLOGY CONSULTING, LLC (NPI 1326864059) is a healthcare organization registered as a dermatology in Bend, Oregon and active in the NPI registry since November 2024. The organization lists John E Jackson, Physician Owner, as its authorized official.

NPPES Registry Identity

NPI1326864059
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NamePROTEAN DERMATOLOGY CONSULTING, LLC
Location Address360 SW BOND ST STE 310Bend, OR 97702-3556
Mailing Address360 Sw Bond St Ste 310Bend, OR 97702-3556 · (855) 457-5593
Organization SubpartNo
Authorized OfficialJohn E JacksonPhysician Owner · (855) 457-5593
Enumeration DateNovember 26, 2024
NPPES CertifiedNovember 26, 2024
NPI 1326864059 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.
360 SW BOND ST STE 310, Bend, OR 97702

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

Physician Assistant (Medical)
360 SW BOND ST STE 310
BEND, OR 97702
Dermatology
360 SW BOND ST STE 310
BEND, OR 97702

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 Protean Dermatology Consulting, LLC's NPI number?

The NPI number for Protean Dermatology Consulting, LLC is 1326864059. It was assigned to this organization in the NPPES registry on November 26, 2024.

Where is Protean Dermatology Consulting, LLC located?

Protean Dermatology Consulting, LLC is located at 360 SW Bond St Ste 310, Bend, OR 97702. The listed phone number is (855) 457-5593.

What is Protean Dermatology Consulting, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Protean Dermatology Consulting, LLC was last updated on November 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.