Organization · Type 2 NPI

Providence Health & Services - Oregon

Dermatology Physician · Portland, OR

NPI number 1891992624 Active

Practice location

5330 NE Glisan St, Suite 200
Portland, OR 97213-3069

Call (503) 215-9080 Map

Mailing address

PO Box 31001 - 4180
Pasadena, CA 91110-4180

Specialties and licenses

TaxonomyCodeLicense
Dermatology Physician Primary 207N00000XNone listed
MOHS-Micrographic Surgery Physician 207ND0101XNone listed
Procedural Dermatology Physician 207NS0135XNone 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…

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About NPI 1891992624

Providence Health & Services - Oregon's National Provider Identifier is 1891992624, issued on Jun 27, 2007. The primary taxonomy on file is Dermatology Physician (207N00000X), and the practice location is in Portland, OR. The record was last updated on Jul 4, 2025.