NPI 1184682437 · live from the CMS NPI Registry
Nicole M Fett, MD
Dermatology in Portland, OR. National Provider Identifier 1184682437, active.
NPI record
| NPI | 1184682437 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dermatology 207N00000X |
| Practice location | 3303 Sw Bond Ave, Ohsu Department Of Dermatology, Portland, OR 97239 |
| Practice phone | 503-418-3376 |
| Enumerated | May 3, 2006 |
| Last updated | April 23, 2013 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology primary | 207N00000X | MD162733 (OR) |
| Internal Medicine | 207R00000X | 48458 (WI) |
| Internal Medicine | 207R00000X | MD436980 (PA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.