LAKE OSWEGO DERMATOLOGY GROUP, PC
NPI 1710167689
Dermatology in Lake Oswego, OR
About Lake Oswego Dermatology Group, Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LAKE OSWEGO DERMATOLOGY GROUP, PC (NPI 1710167689) is a healthcare organization registered as a dermatology in Lake Oswego, Oregon and active in the NPI registry since November 2007. The organization holds a CLIA Certificate of Compliance certificate valid through November 28, 2026 and lists Rita Shigeta, Office Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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 of Compliance 38D0698929
Lake Oswego Dermatology Group Laboratory · Lake Oswego, OROther Providers at the Same Location NPPES 18
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LAKE OSWEGO, OR 97035
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 Lake Oswego Dermatology Group, PC's NPI number?
The NPI number for Lake Oswego Dermatology Group, PC is 1710167689. It was assigned to this organization in the NPPES registry on November 8, 2007.
Where is Lake Oswego Dermatology Group, PC located?
Lake Oswego Dermatology Group, PC is located at 17704 Jean Way Suite 102, Lake Oswego, OR 97035. The listed phone number is (503) 635-9221.
What is Lake Oswego Dermatology Group, PC's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Does Lake Oswego Dermatology Group, PC hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 38D0698929) is associated with this NPI, valid through November 28, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Lake Oswego Dermatology Group, PC accept?
Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Oregon list Lake Oswego Dermatology Group, 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 Lake Oswego Dermatology Group, PC was last updated on February 3, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.