Organization · Type 2 NPI

Willamette Dermatology, P.c.

Specialist · Tualatin, OR

NPI number 1245221084 Active

Practice location

19875 SW 65th Ave, Suite 260
Tualatin, OR 97062-8353

Call (503) 691-1743 Map

Fax (503) 691-0983

Mailing address

PO Box 23200
Portland, OR 97281-3200

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XMD21432 (OR)

Specialist: 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.

20 other providers at this address

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About NPI 1245221084

Willamette Dermatology, P.c.'s National Provider Identifier is 1245221084, issued on Nov 1, 2005. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Tualatin, OR. The record was last updated on Dec 8, 2008.