NPI 1508184763 · live from the CMS NPI Registry
Sarah Fitzmaurice, MD
Dermatology, MOHS-Micrographic Surgery in Portland, OR. National Provider Identifier 1508184763, active.
NPI record
| NPI | 1508184763 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dermatology, MOHS-Micrographic Surgery 207ND0101X |
| Practice location | 3600 N Interstate Ave, Portland, OR 97227 |
| Practice phone | 800-813-2000 |
| Mailing address | 500 Ne Multnomah St Fl 11, Portland, OR 97232 |
| Enumerated | May 12, 2010 |
| Last updated | June 12, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology | 207N00000X | a118271 (CA) |
| Dermatology, Procedural Dermatology | 207NS0135X | a118271 (CA) |
| Dermatology, MOHS-Micrographic Surgery primary | 207ND0101X | MD177019 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.