Individual provider · Type 1 NPI

Jon Michael Hanifin, MD

Dermatology Physician · Portland, OR

NPI number 1336157882 Active

Practice location

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011

Call (503) 418-3376 Map

Mailing address

4108 SW Greenleaf Ct
Portland, OR 97221-3215

Specialties and licenses

TaxonomyCodeLicense
Dermatology Physician Primary 207N00000XMD08045 (OR)

Dermatology Physician: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis an…

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About NPI 1336157882

Jon Michael Hanifin, MD's National Provider Identifier is 1336157882, issued on Aug 3, 2006. The primary taxonomy on file is Dermatology Physician (207N00000X), and the practice location is in Portland, OR. The record was last updated on Jul 8, 2007.