Organization · Type 2 NPI

Knott Street Dermatology PC

Specialist · Portland, OR

NPI number 1891741864 Active

Practice location

301 NE Knott St
Portland, OR 97212-3014

Call (503) 253-2675 Map

Fax (503) 253-4297

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XMD26393 (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 1891741864

Knott Street Dermatology PC's National Provider Identifier is 1891741864, issued on May 25, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Portland, OR. The record was last updated on Aug 13, 2014.