Silver Falls Dermatology, Pc
LBN: Silver Falls Dermatology, Llc
Silver Falls Dermatology, Pc is an health care organization with primary practice located at 1793 13Th St Se , Salem OR 97302-2541. The organization recently has 7 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Clinical & Laboratory Dermatological Immunology, Allopathic & Osteopathic Physicians / Procedural Dermatology, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Dermatology is the primary health care specialty.
Silver Falls Dermatology, Llc can be contacted via phone (503) 362-8385, or through Young, Russell John via phone (503) 362-8385.
Contact Information
Primary practice address
1793 13Th St Se
Salem OR 97302-2541
Phone: (503) 362-8385
Fax: (503) 362-8435
Website:
Authorized official contact:
Name: Young, Russell John Doctor of Medicine (MD)
Phone: (503) 362-8385
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | MD26178 | Oregon |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | ||
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | ||
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ND0900X | ||
| Allopathic & Osteopathic Physicians / Clinical & Laboratory Dermatological Immunology | 207NI0002X | ||
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X |
Profile Details
| NPI number | 1134375421 |
|---|---|
| LBN Legal business name | Silver Falls Dermatology, Llc |
| DBA Doing business as | Silver Falls Dermatology, Pc |
| Authorized official | Young, Russell John Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 18th, 2008 |
| Last updated | Mar 12th, 2021 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134375421 | NPPES |
| Oregon | MEDICAID | 247588 |
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