DERMATOLOGY NORTHWEST LLC is a specialist in Keizer, OR. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DERMATOLOGY NORTHWEST LLC NPI is 1922365956. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
5900 INLAND SHORES WAY N
STE 202
KEIZER, OR
ZIP 97303-883
Phone: (503) 463-6799
Fax: (503) 463-6771
The provider's authorized official is Teri L Litke .
The authorized official title is Practice Administrator and has the following contact phone number (503) 463-6799.
The CLIA number assigned to this NPI record is 38D2142357 - physician office with a certificate type of Certificate of Compliance.
The enumeration date for this NPI number is 4/16/2012 and was last updated on 4/16/2012.