FRONTIER DERMATOLOGY
NPI 1770800930
Clinical Medical Laboratory in Salem, OR

Active since April 28, 2010CLIA Certified · 4 labs
1793 13TH ST SE, SALEM, OR 97302(503) 362-8385(503) 362-8435 Get Directions Write a Review

NPPES record last updated: October 17, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Frontier Dermatology NPPES

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

FRONTIER DERMATOLOGY (NPI 1770800930) is a healthcare organization registered as a clinical medical laboratory in Salem, Oregon and active in the NPI registry since April 2010. The organization holds 4 active CLIA laboratory certificates and lists Malissa Kobbevik, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1770800930
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameSILVER FALLS DERMATOLOGY, LLC
Location Address1793 13TH ST SESalem, OR 97302-2541
Mailing Address1793 13th St SeSalem, OR 97302-2541 · (503) 362-8385 · Fax (503) 362-8435
Fax(503) 362-8435
Organization SubpartNo
Authorized OfficialMalissa KobbevikCredentialing Manager · (360) 375-2038
Enumeration DateApril 28, 2010
Last NPPES UpdateOctober 17, 2024
NPPES CertifiedOctober 17, 2024
NPI 1770800930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
Definition
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
1793 13TH ST SE, Salem, OR 97302

Other Names 1

Doing Business AsFrontier Dermatology

CLIA Laboratory Certificates CMS CLIA 4

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 for Provider-Performed Microscopy Procedures (PPMP) 50D2106019

Frontier Dermatology · Port Angeles, WA
Active · expires Apr 4, 2028
CLIA Number50D2106019
Laboratory TypePhysician Office
Certificate Effective DateJuly 1, 2025
Certificate Expiration DateApril 4, 2028
Laboratory DirectorDieter Schmidt
Laboratory Phone(503) 362-8385
Laboratory LocationFrontier Dermatology4407 Fairmont Ave, Port Angeles, WA 98363
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Compliance 38D2231389

Frontier Dermatology - Lake Oswego · Lake Oswego, OR
Active · expires Nov 21, 2027
CLIA Number38D2231389
Laboratory TypePhysician Office
Certificate Effective DateNovember 22, 2025
Certificate Expiration DateNovember 21, 2027
Laboratory DirectorAlison Carrigg
Laboratory Phone(503) 362-8385
Laboratory LocationFrontier Dermatology - Lake Oswego13300 Fielding Rd, Lake Oswego, OR 97034
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.

Certificate of Compliance 38D2170046

Frontier Dermatology-Bend · Bend, OR
Active · expires Oct 21, 2027
CLIA Number38D2170046
Laboratory TypePhysician Office
Certificate Effective DateOctober 22, 2025
Certificate Expiration DateOctober 21, 2027
Laboratory DirectorDr. Angela Bohlke
Laboratory Phone(503) 362-8385
Laboratory LocationFrontier Dermatology-Bend1415 NW Davenport Ave, Bend, OR 97703
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.

Certificate of Compliance 38D2018422

Frontier Dermatology · Corvallis, OR
Active · expires Apr 28, 2027
CLIA Number38D2018422
Laboratory TypePhysician Office
Certificate Effective DateApril 29, 2025
Certificate Expiration DateApril 28, 2027
Laboratory DirectorDr. William Lear
Laboratory Phone(503) 362-8385
Laboratory LocationFrontier Dermatology2358 NW Kings Blvd, Ste 100, Corvallis, OR 97330
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 20

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

Nurse Practitioner (Family)
1793 13TH ST SE
SALEM, OR 97302
Surgery (Vascular Surgery)
1793 13TH ST SE
SALEM, OR 97302
Dermatology
1793 13TH ST SE
SALEM, OR 97302
Dermatology
1793 13TH ST SE
SALEM, OR 97302
Dermatology
1793 13TH ST SE
SALEM, OR 97302
Student in an Organized Health Care Education/Training Program
1793 13TH ST SE
SALEM, OR 97302
Nurse Practitioner
1793 13TH ST SE
SALEM, OR 97302
Physician Assistant
1793 13TH ST SE
SALEM, OR 97302

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 Silver Falls Dermatology, LLC's NPI number?

The NPI number for Silver Falls Dermatology, LLC is 1770800930. It was assigned to this organization in the NPPES registry on April 28, 2010. The provider is doing business as Frontier Dermatology.

Where is Silver Falls Dermatology, LLC located?

Silver Falls Dermatology, LLC is located at 1793 13th St SE, Salem, OR 97302. The listed phone number is (503) 362-8385.

What is Silver Falls Dermatology, LLC's specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

Does Silver Falls Dermatology, LLC hold CLIA laboratory certificates?

Yes. 4 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Silver Falls Dermatology, LLC was last updated on October 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.