KNOTT STREET DERMATOLOGY PC NPI 1891741864

NPI Information

  • NPI: 1891741864
  • Provider Name: KNOTT STREET DERMATOLOGY PC
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • CLIA Number: 38D1091271
  • Address: 301 NE KNOTT ST
    PORTLAND, OR
    ZIP 97212
  • Phone: (503) 253-2675

Map and Directions

Get Directions

NPI Details

KNOTT STREET DERMATOLOGY PC is a specialist in Portland, 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. KNOTT STREET DERMATOLOGY PC NPI is 1891741864. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

301 NE KNOTT ST
PORTLAND, OR
ZIP 97212-014
Phone: (503) 253-2675
Fax: (503) 253-4297

The provider's authorized official is Eric Leif Hanson .
The authorized official title is President and has the following contact phone number (503) 253-3910.

The CLIA number assigned to this NPI record is 38D1091271 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 5/25/2006 and was last updated on 8/13/2014.

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
1174400000XSpecialistMD26393OREGONYes

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
1H61417MEDICARE UPIN
2R134757MEDICARE 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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI