NPI 1831150846 · live from the CMS NPI Registry
Dermatology Clinic PC
Dermatology in Salem, OR. National Provider Identifier 1831150846, active.
NPI record
| NPI | 1831150846 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dermatology 207N00000X |
| Practice location | 2441 Grear St Ne, Salem, OR 97301 |
| Practice phone | 503-364-3321 |
| Enumerated | March 29, 2006 |
| Last updated | February 4, 2010 |
| Authorized official | Carolyn Greenwade, 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.