EPIPHANY DERMATOLOGY OF OREGON, LLC
NPI 1174697239
Dermatology in Portland, OR
About Epiphany Dermatology Of Oregon, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EPIPHANY DERMATOLOGY OF OREGON, LLC (NPI 1174697239) is a healthcare organization registered as a dermatology in Portland, Oregon and active in the NPI registry since November 2006. The organization holds a CLIA Microscopy certificate valid through September 8, 2026 and lists Gheorghe Pusta, Secretary, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate for Provider-Performed Microscopy Procedures (PPMP) 38D0954415
Epiphany Dermatology Of Oregon, LLC · Portland, OROther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PORTLAND, OR 97210
PORTLAND, OR 97210
PORTLAND, OR 97210
PORTLAND, OR 97210
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Epiphany Dermatology Of Oregon, LLC's NPI number?
The NPI number for Epiphany Dermatology Of Oregon, LLC is 1174697239. It was assigned to this organization in the NPPES registry on November 20, 2006.
Where is Epiphany Dermatology Of Oregon, LLC located?
Epiphany Dermatology Of Oregon, LLC is located at 2222 NW Lovejoy St Suite 422, Portland, OR 97210. The listed phone number is (503) 227-7117.
What is Epiphany Dermatology Of Oregon, LLC's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Does Epiphany Dermatology Of Oregon, LLC hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 38D0954415) is associated with this NPI, valid through September 8, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Epiphany Dermatology Of Oregon, LLC accept?
Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Epiphany Dermatology Of Oregon, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Epiphany Dermatology Of Oregon, LLC was last updated on July 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.