Willamette Dermatology, P.c. - Tualatin, OR

Willamette Dermatology, P.c.

Specialist in Tualatin, Oregon

NPI 1245221084

Willamette Dermatology, P.c. is a Specialist based in Portland, OR. Willamette Dermatology, P.c. practices in Tualatin, OR. The NPI Number for Willamette Dermatology, P.c. is 1245221084 and holds a License No. MD21432 (Oregon).

The current practice location address for Willamette Dermatology, P.c. is 19875 Sw 65Th Ave, Tualatin, OR and can be reached out via phone at 503-691-1743 and via fax at 503-691-0983.

Location: 19875 Sw 65Th Ave, Tualatin, OR, 97281-3200

NPI Number

1245221084

Provider Name

Willamette Dermatology, P.c.

Credential

Provider Entity Type

Organization

Address

19875 Sw 65Th Ave, Tualatin, OR, 97281-3200

Phone Number

503-691-1743

Fax Number

503-691-0983

Provider Enumeration Date

11/01/2005

Last Update Date

03/08/2024

Identifier	Type	State	Issuer
DG7086	01	OR	RAILROAD MEDICARE
151278	05	OR
1508999152	01	OR	INDIVIDUAL PROVIDER NPI

Address

19875 Sw 65Th Ave

City

Tualatin

State

Oregon

Zip

97062-8353

Phone Number

503-691-1743

Fax Number

503-691-0983

Address

19875 Sw 65Th Ave

City

Tualatin

State

Oregon

Zip

97062-8353

Phone Number

503-691-1743

Fax Number

503-691-0983

Type

Other Service Providers

Classification

Specialist

Speciality

Taxonomy

174400000X

License No.

MD21432 (Oregon)

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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