Clackamas Dermatology PC

NPI #1700221397 in Clackamas, Oregon

Provider Information

NPI Number: 1700221397
Entity Type: Organization
Organization Name: Clackamas Dermatology PC
Primary Specialty: Dermatology
Enumeration Date: May 8, 2013
Last Updated: May 25, 2023

Practice Location

Address: 12605 SE 97TH AVE
City: Clackamas
State: Oregon
ZIP Code: 97015-9706
Phone: (503) 654-7546

Authorized Official

Name: DR. PAUL JEFFERY ANDERUD, D.O.
Title: OWNER/CEO
Phone: (503) 654-7546

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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