NPI 1639937170 · live from the CMS NPI Registry
Fair Winds Dermatology LLC
Dermatology in Corvallis, OR. National Provider Identifier 1639937170, active.
NPI record
| NPI | 1639937170 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dermatology 207N00000X |
| Practice location | 2430 Nw Professional Dr, Corvallis, OR 97330 |
| Practice phone | 541-230-1350 |
| Enumerated | March 11, 2024 |
| Last updated | November 25, 2024 |
| Authorized official | Katie Hatsushi, Office Manager |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology primary | 207N00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.