Dermatology Clinic Pc

LBN: Dermatology Clinic Pc
Dermatology Clinic Pc is an health care organization with primary practice located at 2441 Grear St Ne , Salem OR 97301-2749. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Dermatology Clinic Pc can be contacted via phone (503) 364-3321, or through Greenwade, Carolyn via phone (503) 588-0469.

Contact Information

Primary practice address
2441 Grear St Ne Salem OR 97301-2749
Phone: (503) 364-3321
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Greenwade, Carolyn
Phone: (503) 588-0469

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X

Profile Details

NPI number 1831150846
LBN Legal business name Dermatology Clinic Pc
DBA Doing business as
Authorized official Greenwade, Carolyn
Entity Organization
Organization subpart 1 No
Enumeration date Mar 29th, 2006
Last updated Feb 4th, 2010 - about 15 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 1831150846 NPPES
Oregon MEDICAID 046573

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