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ADVANCED SKIN CENTER
NPI 1407055437
Dermatology - Clinical & Laboratory Dermatological Immunology in Roseburg, OR

Active since July 11, 2007CLIA 38D1028702 · Certificate of Compliance
1813 W HARVARD AVE STE 310, ROSEBURG, OR 97471(541) 672-7546(541) 957-8446 Get Directions Write a Review

NPPES record last updated: February 15, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Advanced Skin Center NPPES

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

ADVANCED SKIN CENTER (NPI 1407055437) is a healthcare organization registered as a clinical & laboratory dermatological immunology in Roseburg, Oregon and active in the NPI registry since July 2007. The organization holds a CLIA Certificate of Compliance certificate valid through November 2, 2026 and lists Paul D Reicherter, President, as its authorized official.

NPPES Registry Identity

NPI1407055437
Entity TypeOrganization
Primary Taxonomy207NI0002X
Legal Business NamePAUL D. REICHERTER, MD, PC
Location Address1813 W HARVARD AVE STE 310Roseburg, OR 97471-2756
Mailing Address1813 W Harvard Ave Ste 310Roseburg, OR 97471-2756 · (541) 672-7546 · Fax (541) 957-8446
Phone(541) 672-7546
Fax(541) 957-8446
Organization SubpartNo
Authorized OfficialPaul D ReicherterPresident · (541) 672-7546
Enumeration DateJuly 11, 2007
Last NPPES UpdateFebruary 15, 2016
✔ NPI 1407055437 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyDermatology · Clinical & Laboratory Dermatological ImmunologyAllopathic & Osteopathic Physicians
Taxonomy Code207NI0002X
License✔ Licensed in OR · MD23536
Definition

A dermatologist who utilizes various specialized laboratory procedures to diagnose disorders characterized by defective responses of the body's immune system. Immunodermatologists also may provide consultation in the management of these disorders and administer specialized forms of therapy for these diseases.

Also ListedDermatologyTaxonomy 207N00000X · License MD23536 (OR)
Also ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X · License MD23536 (OR)
Also ListedDermatology · Pediatric DermatologyTaxonomy 207NP0225X · License MD23536 (OR)
Also ListedDermatology · Procedural DermatologyTaxonomy 207NS0135X · License MD23536 (OR)
1813 W HARVARD AVE STE 310, Roseburg, OR 97471
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Other Names 1

Other NameAdvanced Skin Center

Other Identifiers 7

Other286785OR · Ohp
OtherDC5977Medicare Railroad
Other38D1028702OR · Clia
Medicare UPINH50692OR
Other838392000OR · Bcbs
Medicaid286785OR
Medicare PINR120005OR

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., 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 38D1028702

Advanced Skin Center · Roseburg, OR
Active · expires Nov 2, 2026
CLIA Number38D1028702
Laboratory TypePhysician Office
Certificate Effective DateNovember 3, 2024
Certificate Expiration DateNovember 2, 2026
Laboratory DirectorDr. Paul D. Reicherter
Laboratory Phone(541) 672-7546
Laboratory LocationAdvanced Skin Center1813 W Harvard Suite 310, Roseburg, OR 97471
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 3

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

JODY MICHELLE ZURITA F.N.P.-C
Nurse Practitioner (Family)
1813 W HARVARD AVE STE 310
ROSEBURG, OR 97471
Douglas County (541) 672-7546
WINTHROP T HEAD
Physician Assistant (Medical)
1813 W HARVARD AVE STE 310
ROSEBURG, OR 97471
Douglas County (541) 672-7546
SARAH VOUCH PA-C
Physician Assistant
1813 W HARVARD AVE STE 310
ROSEBURG, OR 97471
Douglas County (541) 672-7546

Frequently Asked Questions

What is PAUL D. REICHERTER, MD, PC's NPI number?

The NPI number assigned to this healthcare provider is 1407055437, enumerated as an "organization" on July 11, 2007.

Where is the provider located?

The provider is located at 1813 W HARVARD AVE STE 310 ROSEBURG, OR 97471 and the phone number is (541) 672-7546.

What is the provider's specialty?

Dermatology with taxonomy code 207NI0002X and a focus in Clinical & Laboratory Dermatological Immunology.

What insurance does PAUL D. REICHERTER, MD, PC accept?

The provider might be accepting Accepts: BridgeSpan Health Company, Moda Health Plan, Inc.,. Please consult your insurance carrier or call the provider to verify.