SKIN CANCER SURGERY CENTER LLC NPI 1912218223

NPI Information

  • NPI: 1912218223
  • Provider Name: SKIN CANCER SURGERY CENTER LLC
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • Address: 6370 SW BORLAND RD STE 201
    TUALATIN, OR
    ZIP 97062
  • Phone: (503) 691-1122

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NPI Details

SKIN CANCER SURGERY CENTER LLC is a clinic center in Tualatin, OR. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). SKIN CANCER SURGERY CENTER LLC NPI is 1912218223. The provider is registered as an organization entity type.

The provider's business location address is:

6370 SW BORLAND RD STE 201
TUALATIN, OR
ZIP 97062-754
Phone: (503) 691-1122

The provider's authorized official is David M Kao .
The authorized official title is Owner and has the following contact phone number (503) 691-1122.

The enumeration date for this NPI number is 7/1/2010 and was last updated on 7/1/2010.

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
1261Q00000XClinic/Center23409OREGONYes

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
1H58822MEDICARE UPINOREGON

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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