NPI 1063948487 · live from the CMS NPI Registry
Oluwadamilare Olalekan Ajayi, MD
Dermatology, Dermatopathology in Portland, OR. National Provider Identifier 1063948487, active.
NPI record
| NPI | 1063948487 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dermatology, Dermatopathology 207ND0900X |
| Practice location | 3303 S Bond Ave, Portland, OR 97239 |
| Practice phone | 503-418-3376 |
| Mailing address | 5301 Virginia Way Ste 300, Brentwood, TN 37027 |
| Enumerated | May 4, 2017 |
| Last updated | October 31, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology, Dermatopathology primary | 207ND0900X | MD215961 (OR) |
| Pathology, Dermatopathology | 207ZD0900X | 52535 (AL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.