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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BERT G TAVELLI, MD

Active

BERT G TAVELLI, MD is a Dermatology healthcare provider located in PORTLAND, Oregon. NPI 1013918978 is currently active in the NPPES registry. Verify at CMS.

Dermatology · PORTLAND, OR

Registration Details

NPI Number
1013918978
Provider Type
Individual
Gender
Male
NPI Issued
Aug 2, 2005 (20.847210625687 yrs)
Last Updated
Mar 7, 2023
License
MD 14681 (OR)

Practice Information

Address
2525 NW LOVEJOY ST STE 400
PORTLAND, OR, 972102865
Browse OR providers · Browse ZIP 97210
Phone
5032231933
Fax
5032231947
Primary Specialty
Dermatology
207N00000X

Other Dermatology Providers in PORTLAND, OR

Name Credential NPI
DR. BERNARD A GASCH MD 1407851363
BEATA L RYDZIK MD 1457357576
DIANE ROMAYNE BAKER MD 1083613913
DR. DEBBIE L MILLER M.D. 1205838075
REBECCA A. BREMNER M.D. 1801862099
MICHAEL J ADLER M.D. 1275509457
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.