{"npi":"1174697239","type":"NPI-2","status":"active","name":{"display":"Epiphany Dermatology Of Oregon, LLC","other":[],"organization_name":"EPIPHANY DERMATOLOGY OF OREGON, LLC","authorised_official":"Gheorghe Pusta"},"specialty":{"primary_taxonomy":"207N00000X","primary_taxonomy_description":"Dermatology","slug":"dermatology","schema_org_specialty":"Dermatologic","all":[{"code":"207N00000X","description":"Dermatology","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"2222 NW LOVEJOY ST","city":"PORTLAND","state":"OR","postal_code":"972103033","country_code":"US","street_2":"SUITE 422","phone":"5032277117","fax":"5032277120"},{"purpose":"MAILING","street_1":"7300 RANCH ROAD 2222, BLDG 1, STE 200","city":"AUSTIN","state":"TX","postal_code":"787303255","country_code":"US","phone":"5126280465","fax":"5122332711"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20031124000463","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"OR","pac_id":"0345144093"}]},"enumeration_date":"2006-11-20","last_updated":"2025-07-21","_meta":{"source":"NPPES","snapshot_date":"2025-07-21","doc_url":"https://findmynpi.com/api"}}