# FARNAZ DANA FAKHARI, MD, PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Dermatology & Skin Care Center of West Linn
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528311123
- **Authorized official:** FARNAZ DANA FAKHARI MD (PHYSICIAN PROVIDER/PRESIDENT)
- **Authorized official phone:** (503) 344-6487

## Contact information

- **Practice address:** 18380 WILLAMETTE DR STE 201, WEST LINN, OR 97068-1200
- **Practice address phone:** (503) 344-6487
- **Practice address fax:** (503) 972-1689
- **Mailing address:** 18380 WILLAMETTE DR STE 201, WEST LINN, OR 97068-1200
- **Mailing address phone:** (503) 344-6487
- **Mailing address fax:** (503) 972-1689

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | MD157343 | OR | Yes |

## Other

- **Enumeration date:** 10/19/2012
- **Last updated:** 03/03/2017