NPI 1023403284 · live from the CMS NPI Registry
Julie Dhossche, MD
Dermatology in Portland, OR. National Provider Identifier 1023403284, active.
NPI record
| NPI | 1023403284 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dermatology 207N00000X |
| Practice location | 3303 Sw Bond Ave Ste 16, Portland, OR 97239 |
| Practice phone | 503-418-3376 |
| Enumerated | April 3, 2015 |
| Last updated | May 16, 2019 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
| Dermatology primary | 207N00000X | MD193190 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.