NORTHWEST DERMATOLOGY & LASER CLINIC PC
NPI 1376571364
Dermatology in Portland, OR
About Northwest Dermatology & Laser Clinic Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NORTHWEST DERMATOLOGY & LASER CLINIC PC (NPI 1376571364) is a healthcare organization registered as a dermatology in Portland, Oregon and active in the NPI registry since June 2006. The organization lists Bert G Tavelli, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 4
Group Practice 1
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 Northwest Dermatology & Laser Clinic PC's NPI number?
The NPI number for Northwest Dermatology & Laser Clinic PC is 1376571364. It was assigned to this organization in the NPPES registry on June 29, 2006.
Where is Northwest Dermatology & Laser Clinic PC located?
Northwest Dermatology & Laser Clinic PC is located at 1130 NW 22nd Ave Ste 330, Portland, OR 97210. The listed phone number is (503) 295-2366.
What is Northwest Dermatology & Laser Clinic PC's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
When was this NPI record last updated?
The NPPES record for Northwest Dermatology & Laser Clinic PC was last updated on June 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.