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CENTRAL OREGON DERMATOLOGY, PC
NPI 1336307875
Clinic/Center in Bend, OR

Active since May 31, 2008CLIA 38D1085810 · Certificate of Compliance
388 SW BLUFF DR, BEND, OR 97702(541) 678-0020(541) 383-2174 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Central Oregon Dermatology, Pc NPPES

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

CENTRAL OREGON DERMATOLOGY, PC (NPI 1336307875) is a healthcare organization registered as a clinic/center in Bend, Oregon and active in the NPI registry since May 2008. The organization holds a CLIA Certificate of Compliance certificate valid through September 24, 2026 and lists Jodi Haney, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1336307875
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameCENTRAL OREGON DERMATOLOGY, PC
Location Address388 SW BLUFF DRBend, OR 97702-1360
Mailing Address388 Sw Bluff DrBend, OR 97702-1360 · (541) 678-0020 · Fax (541) 383-2174
Phone(541) 678-0020
Fax(541) 383-2174
Organization SubpartNo
Authorized OfficialJodi HaneyOffice Manager · (541) 323-2181
Enumeration DateMay 31, 2008
Last NPPES UpdateMarch 7, 2023
✔ NPI 1336307875 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in OR · MD26648
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
388 SW BLUFF DR, Bend, OR 97702
Open in Google Maps ↗

Other Identifiers 3

OtherMD26648OR · License
Medicaid241835OR
Other1609815166OR · Npi (individual)

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Regence BlueCross BlueShield of Oregon.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 38D1085810

Central Oregon Dermatology PC · Bend, OR
Active · expires Sep 24, 2026
CLIA Number38D1085810
Laboratory TypePhysician Office
Certificate Effective DateSeptember 25, 2024
Certificate Expiration DateSeptember 24, 2026
Laboratory DirectorMark A. Hall
Laboratory Phone(541) 678-0020
Laboratory LocationCentral Oregon Dermatology PC388 SW Bluff Drive, Bend, OR 97702
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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.

MARK A HALL M.D.
Dermatology
388 SW BLUFF DR
BEND, OR 97702
Deschutes County (541) 678-0020
PAULA SKYE GARDNER PA-C
Physician Assistant
388 SW BLUFF DR
BEND, OR 97702
Deschutes County (541) 678-0020

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 Central Oregon Dermatology, PC's NPI number?

The NPI number for Central Oregon Dermatology, PC is 1336307875. It was assigned to this organization in the NPPES registry on May 31, 2008.

Where is Central Oregon Dermatology, PC located?

Central Oregon Dermatology, PC is located at 388 SW Bluff Dr, Bend, OR 97702. The listed phone number is (541) 678-0020.

What is Central Oregon Dermatology, PC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Central Oregon Dermatology, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 38D1085810) is associated with this NPI, valid through September 24, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Central Oregon Dermatology, PC accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Central Oregon Dermatology, PC 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 Central Oregon Dermatology, PC was last updated on March 7, 2023. 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.