NPI 1023013984 · live from the CMS NPI Registry
John A Kazmierowski, MD
Dermatology in Lake Oswego, OR. National Provider Identifier 1023013984, active.
NPI record
| NPI | 1023013984 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dermatology 207N00000X |
| Practice location | 18405 Deer Oak Ave, Lake Oswego, OR 97035 |
| Practice phone | 503-799-8086 |
| Enumerated | June 16, 2005 |
| Last updated | July 19, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology, Dermatopathology | 207ND0900X | MD10203 (OR) |
| Dermatology, Clinical & Laboratory Dermatological Immunology | 207NI0002X | MD10203 (OR) |
| Allergy & Immunology | 207K00000X | MD10203 (OR) |
| Dermatology primary | 207N00000X | MD10203 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.