Organization
ADVANCED DERMATOLOGY OF OREGON PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAERAN LANDERS M.D. (OWNER)
(503) 692-9525
Entity
Organization
Contact information
Practice address
19255 SW 65TH AVE, STE 260, TUALATIN, OR 97062-7451
(503) 692-9525
(503) 692-8643
Mailing address
19255 SW 65TH AVE, STE 260, TUALATIN, OR 97062-7451
(503) 692-9525
(503) 692-8643
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
338484-90
OR
Other
Enumeration date
09/20/2006
Last updated
08/27/2014
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