{"npi":"1770800930","type":"NPI-2","status":"active","name":{"display":"Silver Falls Dermatology, LLC","other":[],"organization_name":"SILVER FALLS DERMATOLOGY, LLC","authorised_official":"Malissa Kobbevik"},"specialty":{"primary_taxonomy":"291U00000X","primary_taxonomy_description":"Clinical Medical Laboratory","slug":"clinical-medical-laboratory","schema_org_specialty":"Pathology","all":[{"code":"207KI0005X","description":"Clinical & Laboratory Immunology (Allergy & Immunology) Physician","primary":false,"state":null,"license":null},{"code":"207NI0002X","description":"Dermatologic Immunology","primary":false,"state":null,"license":null},{"code":"291U00000X","description":"Clinical Medical Laboratory","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"1793 13TH ST SE","city":"SALEM","state":"OR","postal_code":"973022541","country_code":"US","phone":"5033628385","fax":"5033628435"},{"purpose":"MAILING","street_1":"1793 13TH ST SE","city":"SALEM","state":"OR","postal_code":"973022541","country_code":"US","phone":"5033628385","fax":"5033628435"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2010-04-28","last_updated":"2024-10-17","_meta":{"source":"NPPES","snapshot_date":"2024-10-17","doc_url":"https://findmynpi.com/api"}}