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DERMATOLOGY ASSOCIATESP.C. NPI 1851442461


NPI Information

NPI: 1851442461
Provider Name: DERMATOLOGY ASSOCIATES,P.C.
Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 38D0624734

Address:
10215 SW HALL BLVD
TIGARD, OR
ZIP 97223
Phone: (503) 245-2415
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DERMATOLOGY ASSOCIATES,P.C. is a specialist in Tigard, OR. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DERMATOLOGY ASSOCIATES,P.C. NPI is 1851442461. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

10215 SW HALL BLVD
TIGARD, OR
ZIP 97223-809
Phone: (503) 245-2415
Fax: (503) 244-5693

The provider's authorized official is Marla Ross .
The authorized official title is President and has the following contact phone number (503) 245-2415.

The CLIA number assigned to this NPI record is 38D0624734 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 1/12/2007 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistYes

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: 4/28/2024

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