| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1447764741 | | | | MOUNTAIN WEST DERM - BLACKHART PLLC | 640 W MOANA LN | RENO | NV | 895094903 |
| 1548412224 | | | | BEND DERMATOLOGY CLINIC LLC | 2747 NE CONNERS AVE | BEND | OR | 977018738 |
| 1649244393 | | | | BEND DERMATOLOGY CLINIC LLC | 2747 NE CONNERS AVE | BEND | OR | 977018738 |
| 1184643249 | DELGADO | WILLIAM | J | | 2747 NE CONNERS AVE | BEND | OR | 977018738 |
| 1952327405 | KLEVEN | AMANDA | K | | 2747 NE CONNERS AVE | BEND | OR | 977018738 |
| 1538366240 | MAY | JOSHUA | STAFFORD | | 2747 NE CONNERS AVE | BEND | OR | 977018738 |
| 1265521280 | MCKEAN | ALLISON | M | | 2747 NE CONNERS AVE | BEND | OR | 977018738 |
| 1427282383 | NEUHAUS | KRISTIN | JAYNE | | 2747 NE CONNERS AVE | BEND | OR | 977018738 |
| 1114408945 | STAUB | ALEXANDRIA | NOEL | | 6394 S SOLAR WAY | BOISE | ID | 837098605 |
| 1972073260 | TRAUTMAN | MATTHEW | JOSEPH | | 2747 NE CONNERS AVE | BEND | OR | 977018738 |
| 1275744971 | TRAUTMAN | STEPHANIE | ALICE | | 19638 HOLLYGRAPE ST | BEND | OR | 977022688 |
| 1790704591 | WEBER | LARRY | M | | 2747 NE CONNERS AVE | BEND | OR | 977018738 |
| 1982629713 | ZIRKER | DOUGLAS | K | | 2747 NE CONNERS AVE | BEND | OR | 977018738 |