Willamette Dermatology, P.C.

LBN: Willamette Dermatology, P.C.
Willamette Dermatology, P.C. is an health care organization with primary practice located at 19875 Sw 65Th Ave Suite 260, Tualatin OR 97062-8353. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Willamette Dermatology, P.C. can be contacted via phone (503) 691-1743, or through Klas, Paul A via phone (503) 691-1743.

Contact Information

Primary practice address
19875 Sw 65Th Ave Suite 260 Tualatin OR 97062-8353
Phone: (503) 691-1743
Fax: (503) 691-0983
Website:
Map and Directions
Authorized official contact:
Name: Klas, Paul A Doctor of Medicine (MD)
Phone: (503) 691-1743

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD21432 Oregon

Profile Details

NPI number 1245221084
LBN Legal business name Willamette Dermatology, P.C.
DBA Doing business as
Authorized official Klas, Paul A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 1st, 2005
Last updated Dec 8th, 2008 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1245221084 NPPES
Oregon Other DG7086 RAILROAD MEDICARE
Oregon MEDICAID 151278 RAILROAD MEDICARE
Oregon Other 1508999152 RAILROAD MEDICARE

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