Unknown Individual – Dermatology Physician, NPI 1154700839
Dermatology Physician
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
3600 NW Samaritan Dr
Corvallis, OR 973303737
Phone: (541) 768-4906
Type: Location
1793 13TH ST SE
SALEM, OR 973022541
Phone: (503) 362-8385
Fax: (503) 362-8435
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 97330)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | WA | |
| D E R M A T O L O G Y | OR | |
| D E R M A T O L O G Y | WA | |
| Physician Assistant | WA | |
| D E R M A T O L O G Y | WA | |
| Nurse Practitioner | WA | |
| D E R M A T O L O G Y | WA | |
| - | WA | |
| Nurse Practitioner | WA | |
| - | OR |
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