NPI 1982675690 · live from the CMS NPI Registry
Tony Shuo-Wen Clinton-Merrell, MD
Dermatology in Clackamas, OR. National Provider Identifier 1982675690, active.
NPI record
| NPI | 1982675690 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dermatology 207N00000X |
| Practice location | 9900 Se Sunnyside Rd, Kaiser Permanente Sunnybrook Medical Office, Clackamas, OR 97015 |
| Practice phone | 877-355-2053 |
| Mailing address | 10824 Se Oak St # 301, Milwaukie, OR 97222 |
| Enumerated | January 30, 2006 |
| Last updated | December 17, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology | 207N00000X | 60595972 (WA) |
| Dermatology primary | 207N00000X | MD174125 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.