WEESE DERMATOLOGY PC
NPI 1790176949
Specialist in Roseburg, OR

Q: What is Weese Dermatology PC's NPI number?

The NPI number for Weese Dermatology PC is 1790176949. It was assigned to this organization in the NPPES registry on February 10, 2015.

Q: What is Weese Dermatology PC's specialty?

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

Active since February 10, 2015

2440 NW EDENBOWER BLVD, ROSEBURG, OR 97471(541) 957-1141(541) 957-1466 Get Directions Write a Review

NPPES record last updated: February 10, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Weese Dermatology Pc NPPES

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

WEESE DERMATOLOGY PC (NPI 1790176949) is a healthcare organization registered as a specialist in Roseburg, Oregon and active in the NPI registry since February 2015. The organization lists Kaylan L Weese, Owner, as its authorized official.

NPPES Registry Identity

NPI1790176949

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameWEESE DERMATOLOGY PC

Location Address2440 NW EDENBOWER BLVDRoseburg, OR 97471-8847

Mailing Address2440 Nw Edenbower BlvdRoseburg, OR 97471-8847 · (541) 957-1141 · Fax (541) 957-1466

Phone(541) 957-1141

Fax(541) 957-1466

Organization SubpartNo

Authorized OfficialKaylan L WeeseOwner · (541) 957-1141

Enumeration DateFebruary 10, 2015

✔ NPI 1790176949 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in OR · MD167536

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.

2440 NW EDENBOWER BLVD, Roseburg, OR 97471

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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and more.Insurance ›

Other Providers at the Same Location NPPES 5

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

JENNIFER ANN BROUGH WILSON PA

Physician Assistant