Organization
CONSULTANTS IN DERMATOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH E ROBERTSON JR. M.D. (PRESIDENT)
(503) 494-8033
Entity
Organization
Contact information
Practice address
1730 E 12TH ST, THE DALLES, OR 97058-3137
(541) 506-6930
(541) 506-6931
Mailing address
PO BOX 1044, THE DALLES, OR 97058-9044
(541) 296-7548
(541) 296-7619
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
09/12/2006
Last updated
02/01/2012
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