is a Procedural Dermatology in Portland, Oregon. practices all healthcare services and medical treatments related to Procedural Dermatology. The NPI Number for is 1285891168. The last update date is .
's current location address is 13305 Nw Cornell Rd Ste C, Portland, Oregon. You can contact this provider via phone number 5037655000 and fax number 8667420249. The mailing address for is 13305 Nw Cornell Rd Ste C, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
Provider Name | |
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Address | 13305 Nw Cornell Rd Ste C, Portland, Oregon |
Phone Number | 5037655000 |
Fax Number | 8667420249 |
Sole Proprietor | -- |
Credentials | -- |
NPI Number Detail
NPI Number | 1285891168 |
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Provider Enumeration Date | |
Last Updated Date |
Provider Mailing Address Detail
Address | 13305 Nw Cornell Rd Ste C |
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City | Portland |
State | Oregon (OR) |
Post Code | 972295987 |
Phone Number | 5037655000 |
Fax Number | 8667420249 |
Provider's Primary Taxonomy Detail
Speciality | Procedural Dermatology |
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Taxonomy | 207Ns0135X |
Licence No | MD60215670 |
Definition: Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surge |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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500646390 | OR | -- |
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