GRACE DERMATOLOGY & MICROGRAPHIC SURGERY LLC is a medical specialty clinic center in Lebanon, OR. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). GRACE DERMATOLOGY & MICROGRAPHIC SURGERY LLC NPI is 1184973828. The provider is registered as an organization entity type.
The provider's business location address is:
2500 S MAIN RD
LEBANON, OR
ZIP 97355-336
Phone: (206) 465-8046
The provider's authorized official is Kyle Leland Horner .
The authorized official title is Owner and has the following contact phone number (206) 465-8046.
The CLIA number assigned to this NPI record is 38D2046970 - physician office with a certificate type of Certificate of Compliance.
The enumeration date for this NPI number is 9/7/2012 and was last updated on 11/26/2012.