Organization · Type 2 NPI

Portland Dermatology Clinic, LLP

Specialist · Portland, OR

NPI number 1740334952 Active

Practice location

1414 NW Northrup St, Suite 600
Portland, OR 97209-2798

Call (503) 223-3104 Map

Fax (503) 223-4619

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XMD18952 (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.

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About NPI 1740334952

Portland Dermatology Clinic, LLP's National Provider Identifier is 1740334952, issued on Jan 23, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Portland, OR. The record was last updated on Jul 19, 2010.