PAUL D. REICHERTER MD PC NPI 1407055437

NPI Information

  • NPI: 1407055437
  • Provider Name: PAUL D. REICHERTER, MD, PC
  • Classification: Dermatology - 207NI0002X
  • Specialization: Clinical & Laboratory Dermatological Immunology
  • Entity Type: Organization
  • Other Name: ADVANCED SKIN CENTER
  • Address: 1813 W HARVARD AVE STE 310
    ROSEBURG, OR
    ZIP 97471
  • Phone: (541) 672-7546

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NPI Details

PAUL D. REICHERTER, MD, PC is a clinical and laboratory dermatological immunology dermatology in Roseburg, OR. The provider is a dermatologist who utilizes various specialized laboratory procedures to diagnose disorders characterized by defective responses of the body's immune system. Immunodermatologists also may provide consultation in the management of these disorders and administer specialized forms of therapy for these diseases. PAUL D. REICHERTER, MD, PC NPI is 1407055437. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Advanced Skin Center.

The provider's business location address is:

1813 W HARVARD AVE STE 310
ROSEBURG, OR
ZIP 97471-756
Phone: (541) 672-7546
Fax: (541) 957-8446

The provider's authorized official is Paul D Reicherter .
The authorized official title is President and has the following contact phone number (541) 672-7546.

The enumeration date for this NPI number is 7/11/2007 and was last updated on 2/15/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207NP0225XDermatologyPediatric DermatologyMD23536OREGONNo
2207NS0135XDermatologyProcedural DermatologyMD23536OREGONNo
3207N00000XDermatologyMD23536OREGONNo
4207ND0101XDermatologyMOHS-Micrographic SurgeryMD23536OREGONNo
5207NI0002XDermatologyClinical & Laboratory Dermatological ImmunologyMD23536OREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1286785OTHEROREGONOHP
2DC5977OTHERMEDICARE RAILROAD
338D1028702OTHEROREGONCLIA
4H50692MEDICARE UPINOREGON
5838392000OTHEROREGONBCBS
6286785MEDICAIDOREGON
7R120005MEDICARE PINOREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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