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Grace Dermatology & Micrographic Surgery Llc
Medical Specialty Clinic/Center in Lebanon, Oregon
NPI 1184973828

Grace Dermatology & Micrographic Surgery Llc is a Medical Specialty Clinic/Center based in Lebanon, OR and is specialized in Medical Specialty. Grace Dermatology & Micrographic Surgery Llc practices in Lebanon, OR. The NPI Number for Grace Dermatology & Micrographic Surgery Llc is 1184973828 and holds a License No. MD153145 (Oregon).

The current practice location address for Grace Dermatology & Micrographic Surgery Llc is 2500 S Main Rd, Lebanon, OR and can be reached out via phone at 206-465-8046.

Location: 2500 S Main Rd, Lebanon, OR, 97355-2336
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1184973828
Provider Name
Grace Dermatology & Micrographic Surgery Llc
Credential
Provider Entity Type
Organization
Address
2500 S Main Rd, Lebanon, OR, 97355-2336
Phone Number
206-465-8046
Fax Number
Provider Enumeration Date
09/07/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2500 S Main Rd
City
Lebanon
State
Oregon
Zip
97355-2336
Phone Number
206-465-8046
Fax Number
person
Provider Business Mailing Address Details
Address
2500 S Main Rd
City
Lebanon
State
Oregon
Zip
97355-2336
Phone Number
206-465-8046
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
MD153145 (Oregon)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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