Organization · Type 2 NPI

Providence Health & Services - Oregon

Dermatology Physician · Clackamas, OR

NPI number 1790107050 Active

Practice location

9290 SE Sunnybrook Blvd, Suite 120
Clackamas, OR 97015-6802

Call (503) 215-9080 Map

Fax (503) 215-9099

Mailing address

PO Box 31001 - 4180
Pasadena, CA 91110-4180

Specialties and licenses

TaxonomyCodeLicense
Dermatology Physician Primary 207N00000XNone listed
Clinic/Center 261Q00000XNone listed

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…

24 other providers at this address

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About NPI 1790107050

Providence Health & Services - Oregon's National Provider Identifier is 1790107050, issued on Jan 6, 2014. The primary taxonomy on file is Dermatology Physician (207N00000X), and the practice location is in Clackamas, OR. The record was last updated on Jul 1, 2025.