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ADVANCED DERMATOLOGY OF OREGON PC
NPI 1215035332
Dermatology in Tualatin, OR

Active since September 20, 2006CLIA 38D1063088 · Certificate of Compliance
19255 SW 65TH AVE, STE 260, TUALATIN, OR 97062(503) 692-9525(503) 692-8643 Get Directions Write a Review

NPPES record last updated: August 27, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Advanced Dermatology Of Oregon Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ADVANCED DERMATOLOGY OF OREGON PC (NPI 1215035332) is a healthcare organization registered as a dermatology in Tualatin, Oregon and active in the NPI registry since September 2006. The organization holds a CLIA Certificate of Compliance certificate valid through April 23, 2027 and lists Maeran Landers, Owner, as its authorized official.

NPPES Registry Identity

NPI1215035332
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameADVANCED DERMATOLOGY OF OREGON PC
Location Address19255 SW 65TH AVE, STE 260Tualatin, OR 97062-7451
Mailing Address19255 Sw 65th Ave, Ste 260Tualatin, OR 97062-7451 · (503) 692-9525 · Fax (503) 692-8643
Phone(503) 692-9525
Fax(503) 692-8643
Organization SubpartNo
Authorized OfficialMaeran LandersOwner · (503) 692-9525
Enumeration DateSeptember 20, 2006
Last NPPES UpdateAugust 27, 2014
✔ NPI 1215035332 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in OR · 338484-90
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.
19255 SW 65TH AVE, Tualatin, OR 97062
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Other Identifiers 1

Medicare PINR135645OR

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

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Providence Health Plan, Regence BlueCross BlueShield of Oregon.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 of Compliance 38D1063088

Advanced Dermatology Of Oregon · Tualatin, OR
Active · expires Apr 23, 2027
CLIA Number38D1063088
Laboratory TypePhysician Office
Certificate Effective DateApril 24, 2025
Certificate Expiration DateApril 23, 2027
Laboratory DirectorDr. Maeran Chung Landers
Laboratory Phone(503) 692-9525
Laboratory LocationAdvanced Dermatology Of Oregon19260 SW 65th Ave Suite 270, Tualatin, OR 97062
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 16

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

PROACTIVE PHYSICAL THERAPY TUALATIN
Physical Therapist
19255 SW 65TH AVE, SUITE 250
TUALATIN, OR 97062
Washington County (503) 545-0526
DR. DREW THOMAS HERION D.D.S.
Dentist (Orthodontics and Dentofacial Orthopedics)
19255 SW 65TH AVE, SUITE 230
TUALATIN, OR 97062
Washington County (503) 691-9970
DR. BRYAN JOHNSON D.D.S., M.S.
Dentist (Orthodontics and Dentofacial Orthopedics)
19255 SW 65TH AVE, SUITE #230
TUALATIN, OR 97062
Washington County (503) 691-9970
KEVIN APPLIN HANSON D.P.T.
Physical Therapist
19255 SW 65TH AVE, SUITE 120
TUALATIN, OR 97062
Washington County (503) 692-4934
THOMAS P. MCWEENEY MD PC
Specialist
19255 SW 65TH AVE, SUITE 110
TUALATIN, OR 97062
Washington County (503) 506-8384
OREGON SPINE CARE LLC
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
19255 SW 65TH AVE, SUITE 200
TUALATIN, OR 97062
Washington County (503) 828-1150
MICHAEL CRAIG COLLISON DPT
Physical Therapist
19255 SW 65TH AVE, STE. 120
TUALATIN, OR 97062
Washington County (503) 692-4934
MATTHEW STEPHEN ROGERS D.P.T.
Physical Therapist
19255 SW 65TH AVE, SUITE 120
TUALATIN, OR 97062
Washington County (503) 692-4934

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 Advanced Dermatology Of Oregon PC's NPI number?

The NPI number for Advanced Dermatology Of Oregon PC is 1215035332. It was assigned to this organization in the NPPES registry on September 20, 2006.

Where is Advanced Dermatology Of Oregon PC located?

Advanced Dermatology Of Oregon PC is located at 19255 SW 65th Ave Ste 260, Tualatin, OR 97062. The listed phone number is (503) 692-9525.

What is Advanced Dermatology Of Oregon PC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Does Advanced Dermatology Of Oregon PC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 38D1063088) is associated with this NPI, valid through April 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Advanced Dermatology Of Oregon PC accept?

Health plans from BridgeSpan Health Company, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Advanced Dermatology Of Oregon PC 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 Advanced Dermatology Of Oregon PC was last updated on August 27, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.