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NPI · 1376571364 · NPPES-sourced

Northwest Dermatology & Laser Clinic PC

ActiveDermatology
NPI Number
1376571364
Type 2 · Organisation
Taxonomy Code
207N00000X
Contact
(503) 295-2366
License OR · MD14681
Last Updated
About 10 years ago (Jun 2016)
Enumerated 2006-06-29
Primary practice addressOR · 97210-2970
1130 Nw 22nd Ave Ste 330Portland, OR 97210-2970
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About this NPIWhat this record shows.

NPI 1376571364 is registered to Northwest Dermatology & Laser Clinic PC, a healthcare organisation classified as "Dermatology" and located at 1130 Nw 22nd Ave Ste 330 in Portland, Oregon. The organisation's authorised official is Bert Tavelli. The organisation has been enumerated in the NPI registry since 2006.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
2006-06-29
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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Other

  • DD5356OR· Issued by RAILROAD MEDICARE

Medicaid

Source: NPPES public registry.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Northwest Dermatology & Laser Clinic PC accepts. To confirm in-network status with your specific health plan, contact Northwest Dermatology & Laser Clinic PC directly at (503) 295-2366.

Frequently asked

Yes. NPI 1376571364 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Dermatology is a medical specialty focused on conditions affecting the skin, hair, and nails, including acne, eczema, psoriasis, skin cancer screenings, and cosmetic procedures.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (503) 295-2366.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Northwest Dermatology & Laser Clinic PC is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy207N00000X
Last updated2016-06
Enumerated2006-06-29
StatusActive
Partneri
partner offer
Tools for healthcare teams.
Curated partner offers for clinics and front-desk staff.
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Affiliate placement. We may earn a commission.
Sponsoredi
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Your brand here.
Reach the people searching this registry.
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