Willamette Dermatology, P.c.

NPI #1245221084 in Tualatin, Oregon

Provider Information

NPI Number: 1245221084
Entity Type: Organization
Organization Name: Willamette Dermatology, P.c.
Primary Specialty: Specialist
Enumeration Date: Nov 1, 2005
Last Updated: Dec 8, 2008

Practice Location

Address: 19875 SW 65TH AVE
Address 2: SUITE 260
City: Tualatin
State: Oregon
ZIP Code: 97062-8353
Phone: (503) 691-1743

Authorized Official

Name: PAUL A KLAS, M.D.
Title: OWNER/PHYSICIAN
Phone: (503) 691-1743

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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