PORTLAND DERMATOLOGY CLINIC, LLP
NPI 1740334952
Specialist in Portland, OR

Active since January 23, 2007
1414 NW NORTHRUP ST, SUITE 600, PORTLAND, OR 97209(503) 223-3104(503) 223-4619 Get Directions Write a Review

NPPES record last updated: July 19, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Portland Dermatology Clinic, Llp NPPES

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

PORTLAND DERMATOLOGY CLINIC, LLP (NPI 1740334952) is a healthcare organization registered as a specialist in Portland, Oregon and active in the NPI registry since January 2007. The organization lists Kate A Othus, Administrator, as its authorized official.

NPPES Registry Identity

NPI1740334952
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NamePORTLAND DERMATOLOGY CLINIC, LLP
Location Address1414 NW NORTHRUP ST, SUITE 600Portland, OR 97209-2798
Mailing Address1414 Nw Northrup St, Suite 600Portland, OR 97209-2798 · (503) 223-3104 · Fax (503) 223-4619
Fax(503) 223-4619
Organization SubpartNo
Authorized OfficialKate A OthusAdministrator · (503) 445-2133
Enumeration DateJanuary 23, 2007
Last NPPES UpdateJuly 19, 2010
NPI 1740334952 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in OR · MD18952
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.

1414 NW NORTHRUP ST, Portland, OR 97209

Other Identifiers 1

Medicare ID-Type Unspecified100457OR

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

Other Providers at the Same Location NPPES 2

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

Pharmacist
1414 NW NORTHRUP ST, SUITE 800
PORTLAND, OR 97209
Specialist
1414 NW NORTHRUP ST, SUITE 600
PORTLAND, OR 97209

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 Portland Dermatology Clinic, LLP's NPI number?

The NPI number for Portland Dermatology Clinic, LLP is 1740334952. It was assigned to this organization in the NPPES registry on January 23, 2007.

Where is Portland Dermatology Clinic, LLP located?

Portland Dermatology Clinic, LLP is located at 1414 NW Northrup St Suite 600, Portland, OR 97209. The listed phone number is (503) 223-3104.

What is Portland Dermatology Clinic, LLP's specialty?

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

When was this NPI record last updated?

The NPPES record for Portland Dermatology Clinic, LLP was last updated on July 19, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.