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PROVIDENCE HEALTH & SERVICES - OREGON

Dermatology Physician

NPI: 1891992624Organization

Specialties, Licenses & Credentials

Dermatology PhysicianPrimary

Dermatology

Code: 207N00000X

MOHS-Micrographic Surgery Physician

Dermatology — MOHS-Micrographic Surgery

Code: 207ND0101X

Procedural Dermatology Physician

Dermatology — Procedural Dermatology

Code: 207NS0135X

Clinic/Center

Clinic/Center

Code: 261Q00000X

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Contact & Hours

Address
5330 NE GLISAN ST., SUITE 200
PORTLAND, OR 97213

Quick Facts

NPI
1891992624
Entity Type
Organization
Medicare
Not confirmed
Specialties
4
Locations
1

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