Knott Street Dermatology PC

NPI #1891741864 in Portland, Oregon

Provider Information

NPI Number: 1891741864
Entity Type: Organization
Organization Name: Knott Street Dermatology PC
Primary Specialty: Specialist
Enumeration Date: May 25, 2006
Last Updated: Aug 13, 2014

Practice Location

Address: 301 NE KNOTT ST
City: Portland
State: Oregon
ZIP Code: 97212-3014
Phone: (503) 253-2675

Authorized Official

Name: DR. ERIC LEIF HANSON, MD
Title: PRESIDENT
Phone: (503) 253-3910

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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