NPI 1215035332 · live from the CMS NPI Registry
Advanced Dermatology Of Oregon PC
Dermatology in Tualatin, OR. National Provider Identifier 1215035332, active.
NPI record
| NPI | 1215035332 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dermatology 207N00000X |
| Practice location | 19255 Sw 65th Ave, Ste 260, Tualatin, OR 97062 |
| Practice phone | 503-692-9525 |
| Enumerated | September 20, 2006 |
| Last updated | August 27, 2014 |
| Authorized official | Maeran Landers, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology primary | 207N00000X | 338484-90 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.