Goodskin Dermatology

LBN: Clackamas Dermatology Pc
Goodskin Dermatology is an health care organization with primary practice located at 12605 Se 97Th Ave , Clackamas OR 97015-9706. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Clackamas Dermatology Pc can be contacted via phone (503) 654-7546, or through Anderud, Paul Jeffery via phone (503) 654-7546.

Contact Information

Primary practice address
12605 Se 97Th Ave Clackamas OR 97015-9706
Phone: (503) 654-7546
Fax: (503) 786-3542
Website:
Map and Directions
Authorized official contact:
Name: Anderud, Paul Jeffery Doctor of Osteopathy (DO)
Phone: (503) 654-7546

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X DO157838 Oregon

Profile Details

NPI number 1700221397
LBN Legal business name Clackamas Dermatology Pc
DBA Doing business as Goodskin Dermatology
Authorized official Anderud, Paul Jeffery Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date May 8th, 2013
Last updated May 25th, 2023 - about 3 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 1700221397 NPPES
Oregon MEDICAID 500702253

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