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

NORTHWEST DERMATOLOGY & LASER CLINIC PC

Active Organization

NORTHWEST DERMATOLOGY & LASER CLINIC PC is a Dermatology organization located in PORTLAND, Oregon. NPI 1376571364 is currently active in the NPPES registry. Verify at CMS.

Dermatology · PORTLAND, OR

Registration Details

NPI Number
1376571364
Provider Type
Organization
NPI Issued
Jun 29, 2006 (19.943441102504 yrs)
Last Updated
Jun 1, 2016
License
MD14681 (OR)

Practice Information

Address
1130 NW 22ND AVE STE 330
PORTLAND, OR, 972102970
Browse OR providers · Browse ZIP 97210
Phone
5032952366
Fax
5032953065
Primary Specialty
Dermatology
207N00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.