Bert G Tavelli, MD

NPI #1013918978 in Portland, Oregon

Provider Information

NPI Number: 1013918978
Entity Type: Individual
Name: Bert G Tavelli, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dermatology
Credential: MD
Enumeration Date: Aug 2, 2005
Last Updated: Mar 7, 2023

Practice Location

Address: 2525 NW LOVEJOY ST STE 400
City: Portland
State: Oregon
ZIP Code: 97210-2865
Phone: (503) 223-1933

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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