Medical school: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Graduated: 2003
NPI: 1679553218
Practice Locations (1)
MOUNTAIN WEST DERM - BLACKHART PLLC
10215 SW HALL BLVD
TIGARD, OR 972238809
5032452415
Source: CMS National Downloadable File, September 2026.