Skin Cancer Surgery Center

LBN: Skin Cancer Surgery Center
Skin Cancer Surgery Center is an health care organization with primary practice located at 6370 Sw Borland Rd. Suite 200, Tualatin OR 97062. The organization recently has only one registered license in Managed Care Organizations / Preferred Provider Organization, which is considered as the primary health care specialty. Skin Cancer Surgery Center can be contacted via phone (503) 691-1122, or through Pena, Andrea via phone (503) 691-1122.

Contact Information

Primary practice address
6370 Sw Borland Rd. Suite 200 Tualatin OR 97062
Phone: (503) 691-1122
Fax: (503) 691-1144
Website:
Map and Directions
Authorized official contact:
Name: Pena, Andrea
Phone: (503) 691-1122

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Preferred Provider Organization 305R00000X 23409 Oregon

Profile Details

NPI number 1699943126
LBN Legal business name Skin Cancer Surgery Center
DBA Doing business as Skin Cancer Surgery Center
Authorized official Pena, Andrea
Entity Organization
Organization subpart 1 No
Enumeration date Feb 19th, 2008
Last updated Jan 11th, 2024 - about 10 months 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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Identifiers

StateTypeNumberIssuer
All States NPI 1699943126 NPPES
Oregon MEDICAID 287107

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