Dermatology Northwest LLC

NPI #1922365956 in Keizer, Oregon

Provider Information

NPI Number: 1922365956
Entity Type: Organization
Organization Name: Dermatology Northwest LLC
Primary Specialty: Specialist
Enumeration Date: Apr 16, 2012
Last Updated: Apr 16, 2012

Practice Location

Address: 5900 INLAND SHORES WAY N
Address 2: STE 202
City: Keizer
State: Oregon
ZIP Code: 97303-3883
Phone: (503) 463-6799

Authorized Official

Name: TERI L LITKE
Title: PRACTICE ADMINISTRATOR
Phone: (503) 463-6799

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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