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DERMATOLOGY BY DESIGN LLC
NPI 1972004455
Dermatology in Portland, OR

Active since February 21, 2018CLIA 38D2147625 · Microscopy
1129 NW 11TH AVE, PORTLAND, OR 97209(503) 705-2331 Get Directions Write a Review

NPPES record last updated: February 21, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dermatology By Design Llc NPPES

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

DERMATOLOGY BY DESIGN LLC (NPI 1972004455) is a healthcare organization registered as a dermatology in Portland, Oregon and active in the NPI registry since February 2018. The organization holds a CLIA Microscopy certificate valid through April 22, 2028 and lists Omar Qutub, Owner, as its authorized official.

NPPES Registry Identity

NPI1972004455
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameDERMATOLOGY BY DESIGN LLC
Location Address1129 NW 11TH AVEPortland, OR 97209-3469
Mailing Address949 Nw Overton St Unit 608Portland, OR 97209-3270 · (503) 705-2331
Phone(503) 705-2331
Organization SubpartNo
Authorized OfficialOmar QutubOwner · (503) 705-2331
Enumeration DateFebruary 21, 2018
✔ NPI 1972004455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in OR · MD158125
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
1129 NW 11TH AVE, Portland, OR 97209
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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, 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 for Provider-Performed Microscopy Procedures (PPMP) 38D2147625

Dermatology By Design · Portland, OR
Active · expires Apr 22, 2028
CLIA Number38D2147625
Laboratory TypePhysician Office
Certificate Effective DateApril 23, 2026
Certificate Expiration DateApril 22, 2028
Laboratory DirectorOmar N. Qutub MD
Laboratory Phone(503) 227-3640
Laboratory LocationDermatology By Design1129 NW 11th Avenue, Portland, OR 97209
CLIA data matches this NPI record on: Address Name
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.

Other Providers at the Same Location NPPES

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

DR. OMAR N QUTUB MD
Dermatology
1129 NW 11TH AVE
PORTLAND, OR 97209
Multnomah County (503) 705-2331

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 Dermatology By Design LLC's NPI number?

The NPI number for Dermatology By Design LLC is 1972004455. It was assigned to this organization in the NPPES registry on February 21, 2018.

Where is Dermatology By Design LLC located?

Dermatology By Design LLC is located at 1129 NW 11th Ave, Portland, OR 97209. The listed phone number is (503) 705-2331.

What is Dermatology By Design LLC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Does Dermatology By Design LLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 38D2147625) is associated with this NPI, valid through April 22, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Dermatology By Design LLC accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Oregon list Dermatology By Design LLC 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 Dermatology By Design LLC was last updated on February 21, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.