# PAUL D. REICHERTER, MD, PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Advanced Skin Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407055437
- **Authorized official:** PAUL D REICHERTER MD (PRESIDENT)
- **Authorized official phone:** (541) 672-7546

## Contact information

- **Practice address:** 1813 W HARVARD AVE STE 310, ROSEBURG, OR 97471-2756
- **Practice address phone:** (541) 672-7546
- **Practice address fax:** (541) 957-8446
- **Mailing address:** 1813 W HARVARD AVE STE 310, ROSEBURG, OR 97471-2756
- **Mailing address phone:** (541) 672-7546
- **Mailing address fax:** (541) 957-8446

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207N00000X | Dermatology Physician | MD23536 | OR | — |
| 207ND0101X | MOHS-Micrographic Surgery Physician | MD23536 | OR | — |
| 207NI0002X | Clinical & Laboratory Dermatological Immunology Physician | MD23536 | OR | Yes |
| 207NP0225X | Pediatric Dermatology Physician | MD23536 | OR | — |
| 207NS0135X | Procedural Dermatology Physician | MD23536 | OR | — |

## Other

- **Enumeration date:** 07/11/2007
- **Last updated:** 02/15/2016