FAIR WINDS DERMATOLOGY LLC NPI 1639937170

NPI Information

  • NPI: 1639937170
  • Provider Name: FAIR WINDS DERMATOLOGY LLC
  • Classification: Dermatology - 207N00000X
  • Entity Type: Organization
  • Address: 2430 NW PROFESSIONAL DR
    CORVALLIS, OR
    ZIP 97330
  • Phone: (541) 230-1350

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NPI Details

FAIR WINDS DERMATOLOGY LLC is a dermatology in Corvallis, OR. The provider is 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. FAIR WINDS DERMATOLOGY LLC NPI is 1639937170. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2430 NW PROFESSIONAL DR
CORVALLIS, OR
ZIP 97330-991
Phone: (541) 230-1350

The provider's authorized official is Katie Hatsushi .
The authorized official title is Office Manager and has the following contact phone number (408) 480-7500.

The enumeration date for this NPI number is 3/11/2024 and was last updated on 11/25/2024.

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
1207N00000XDermatologyYes

What is NPI?

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

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