Advanced Dermatology of Oregon PC

NPI #1215035332 in Tualatin, Oregon

Provider Information

NPI Number: 1215035332
Entity Type: Organization
Organization Name: Advanced Dermatology of Oregon PC
Primary Specialty: Dermatology
Enumeration Date: Sep 20, 2006
Last Updated: Aug 27, 2014

Practice Location

Address: 19255 SW 65TH AVE
Address 2: STE 260
City: Tualatin
State: Oregon
ZIP Code: 97062-7451
Phone: (503) 692-9525

Authorized Official

Name: MAERAN LANDERS, M.D.
Title: OWNER
Phone: (503) 692-9525

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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