Portland Dermatology Clinic, LLP

NPI #1740334952 in Portland, Oregon

Provider Information

NPI Number
1740334952
Entity Type
Organization
Organization Name
Portland Dermatology Clinic, LLP
Primary Specialty
Specialist
Enumeration Date
Jan 23, 2007
Last Updated
Jul 19, 2010

Practice Location

Address
1414 NW NORTHRUP ST
Address 2
SUITE 600
State
Oregon
ZIP Code
97209-2798
Phone
(503) 223-3104

Authorized Official

Name
KATE A OTHUS, MHA
Title
ADMINISTRATOR
Phone
(503) 445-2133

Specialties & Taxonomy Codes

Specialty
Specialist

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