1. Home
  2. Directory
  3. Oregon
  4. Tualatin
  5. Specialist
  6. NPI Profile

WILLAMETTE DERMATOLOGY, P.C.
NPI 1245221084
Specialist in Tualatin, OR

Active since November 01, 2005
19875 SW 65TH AVE, SUITE 260, TUALATIN, OR 97062(503) 691-1743(503) 691-0983 Get Directions Write a Review

NPPES record last updated: December 8, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Willamette Dermatology, P.c. NPPES

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

WILLAMETTE DERMATOLOGY, P.C. (NPI 1245221084) is a healthcare organization registered as a specialist in Tualatin, Oregon and active in the NPI registry since November 2005. The organization lists Paul A Klas, Owner/physician, as its authorized official.

NPPES Registry Identity

NPI1245221084
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameWILLAMETTE DERMATOLOGY, P.C.
Location Address19875 SW 65TH AVE, SUITE 260Tualatin, OR 97062-8353
Mailing AddressPo Box 23200Portland, OR 97281-3200 · (503) 691-1743 · Fax (503) 691-0983
Phone(503) 691-1743
Fax(503) 691-0983
Organization SubpartNo
Authorized OfficialPaul A KlasOwner/physician · (503) 691-1743
Enumeration DateNovember 1, 2005
Last NPPES UpdateDecember 8, 2008
✔ NPI 1245221084 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in OR · MD21432
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.
19875 SW 65TH AVE, Tualatin, OR 97062
Open in Google Maps ↗

Other Identifiers 5

Medicare PINR104407OR
Other1508999152OR · Individual Provider Npi
Medicaid151278OR
Medicare UPINC74739OR
OtherDG7086OR · Railroad Medicare

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 ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Willamette Dermatology, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Willamette Dermatology, P.C., which bills Medicare for the services this clinician delivers.

Clinician (1)

Paul Klas, M.D.
Dermatology
NPI 1508999152
19875 SW 65TH AVE SUITE 260
Tualatin, OR 97062
(503) 691-1743
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Willamette Dermatology, P.C.'s NPI number?

The NPI number for Willamette Dermatology, P.C. is 1245221084. It was assigned to this organization in the NPPES registry on November 1, 2005.

Where is Willamette Dermatology, P.C. located?

Willamette Dermatology, P.C. is located at 19875 SW 65th Ave Suite 260, Tualatin, OR 97062. The listed phone number is (503) 691-1743.

What is Willamette Dermatology, P.C.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Willamette Dermatology, P.C. enrolled in Medicare?

Yes. Willamette Dermatology, P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Willamette Dermatology, P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Willamette Dermatology, P.C.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Willamette Dermatology, P.C. accept?

Health plans from BridgeSpan Health Company, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Willamette Dermatology, P.C. 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 Willamette Dermatology, P.C. was last updated on December 8, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.