EPIPHANY DERMATOLOGY OF OREGON, LLC
NPI 1174697239
Dermatology in Portland, OR

Active since November 20, 2006CLIA 38D0954415 · Microscopy
2222 NW LOVEJOY ST, SUITE 422, PORTLAND, OR 97210(503) 227-7117(503) 227-7120 Get Directions Write a Review

NPPES record last updated: July 21, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

NPI1174697239
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameEPIPHANY DERMATOLOGY OF OREGON, LLC
Location Address2222 NW LOVEJOY ST, SUITE 422Portland, OR 97210-3033
Mailing Address7300 Ranch Road 2222, Bldg 1, Ste 200Austin, TX 78730-3255 · (512) 628-0465 · Fax (512) 233-2711
Fax(503) 227-7120
Organization SubpartNo
Authorized OfficialGheorghe PustaSecretary · (512) 628-0465
Enumeration DateNovember 20, 2006
Last NPPES UpdateJuly 21, 2025
NPPES CertifiedJuly 21, 2025
NPI 1174697239 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

2222 NW LOVEJOY ST, Portland, OR 97210

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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, OR
Active · expires Sep 8, 2026
CLIA Number38D0954415
Laboratory TypePhysician Office
Certificate Effective DateSeptember 9, 2024
Certificate Expiration DateSeptember 8, 2026
Laboratory DirectorPatricia L. Norris
Laboratory Phone(503) 227-7117
Laboratory LocationEpiphany Dermatology Of Oregon, LLC2222 NW Lovejoy St, Suite 619, Portland, OR 97210
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
2222 NW LOVEJOY ST, STE 505
PORTLAND, OR 97210
Internal Medicine (Cardiovascular Disease)
2222 NW LOVEJOY ST, STE. 606
PORTLAND, OR 97210
Nurse Practitioner (Adult Health)
2222 NW LOVEJOY ST
PORTLAND, OR 97210
Internal Medicine (Interventional Cardiology)
2222 NW LOVEJOY ST, SUITE 606
PORTLAND, OR 97210
Otolaryngology
2222 NW LOVEJOY ST, SUITE #622
PORTLAND, OR 97210
Otolaryngology
2222 NW LOVEJOY ST, SUITE #622
PORTLAND, OR 97210
Internal Medicine (Cardiovascular Disease)
2222 NW LOVEJOY ST, SUITE 512
PORTLAND, OR 97210
Thoracic Surgery (Cardiothoracic Vascular Surgery)
2222 NW LOVEJOY ST, SUITE 315
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 with the weekly NPPES data releases published by CMS.