Grace Dermatology & Micrographic Surgery Llc

LBN: Grace Dermatology & Micrographic Surgery Llc
Grace Dermatology & Micrographic Surgery Llc is an health care organization with primary practice located at 2500 S Main Rd , Lebanon OR 97355-2336. The organization recently has only one registered license in Ambulatory Health Care Facilities / Medical Specialty, which is considered as the primary health care specialty. Grace Dermatology & Micrographic Surgery Llc can be contacted via phone (206) 465-8046, or through Horner, Kyle Leland via phone (206) 465-8046.

Contact Information

Primary practice address
2500 S Main Rd Lebanon OR 97355-2336
Phone: (206) 465-8046
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Horner, Kyle Leland Doctor of Medicine (MD)
Phone: (206) 465-8046

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X MD153145 Oregon

Profile Details

NPI number 1184973828
LBN Legal business name Grace Dermatology & Micrographic Surgery Llc
DBA Doing business as
Authorized official Horner, Kyle Leland Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 7th, 2012
Last updated Nov 26th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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