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Dermatology Northwest Llc
Specialist in Keizer, Oregon
NPI 1922365956

Dermatology Northwest Llc is a Specialist based in Keizer, OR. Dermatology Northwest Llc practices in Keizer, OR. The NPI Number for Dermatology Northwest Llc is 1922365956 and holds a License No. MD10836 (Oregon).

The current practice location address for Dermatology Northwest Llc is 5900 Inland Shores Way N, Keizer, OR and can be reached out via phone at 503-463-6799 and via fax at 503-463-6771.

Location: 5900 Inland Shores Way N, Keizer, OR, 97303
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1922365956
Provider Name
Dermatology Northwest Llc
Credential
Provider Entity Type
Organization
Address
5900 Inland Shores Way N, Keizer, OR, 97303
Phone Number
503-463-6799
Fax Number
503-463-6771
Provider Enumeration Date
04/16/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5900 Inland Shores Way N
City
Keizer
State
Oregon
Zip
97303-3883
Phone Number
503-463-6799
Fax Number
503-463-6771
person
Provider Business Mailing Address Details
Address
5900 Inland Shores Way N
City
Keizer
State
Oregon
Zip
97303-3883
Phone Number
503-463-6799
Fax Number
503-463-6771
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
MD10836 (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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