NPI Details
SILVER FALLS DERMATOLOGY, LLC is a clinical medical laboratory in Salem, OR. The provider is (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. SILVER FALLS DERMATOLOGY, LLC NPI is 1770800930. The provider is registered as an organization entity type.
The provider Is Doing Business As Frontier Dermatology.
The provider's business location address is:
1793 13TH ST SE
SALEM, OR
ZIP 97302-541
Phone: (503) 362-8385
Fax: (503) 362-8435
The provider's authorized official is Malissa Kobbevik .
The authorized official title is Credentialing Manager and has the following contact phone number (360) 375-2038.
The CLIA number assigned to this NPI record is 38D2018422 - physician office with a certificate type of Certificate of Compliance.
The enumeration date for this NPI number is 4/28/2010 and was last updated on 10/17/2024.
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 |
| 1 | 207KI0005X | Allergy & Immunology | Clinical & Laboratory Immunology | | | No |
| 2 | 207NI0002X | Dermatology | Clinical & Laboratory Dermatological Immunology | | | No |
| 3 | 291U00000X | Clinical Medical Laboratory | | | | Yes |
