NPI 1447555016 · live from the CMS NPI Registry
Joshua Aaron Bezecny, DO
Dermatology in Salem, OR. National Provider Identifier 1447555016, active.
NPI record
| NPI | 1447555016 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dermatology 207N00000X |
| Practice location | 1793 13th St Se, Salem, OR 97302 |
| Practice phone | 866-599-3376 |
| Mailing address | 10099 Ridgegate Pkwy Ste 200, Lone Tree, CO 80124 |
| Enumerated | January 12, 2011 |
| Last updated | June 20, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice | 208D00000X | TL.0009385 (CO) |
| Physician Assistant | 363A00000X | PA175899 (OR) |
| Physician Assistant | 363A00000X | PA0003147 (CO) |
| Dermatology primary | 207N00000X | DO218517 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.