Organization
FAIR WINDS DERMATOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATIE HATSUSHI MD (OFFICE MANAGER)
(408) 480-7500
Entity
Organization
Contact information
Practice address
2430 NW PROFESSIONAL DR, CORVALLIS, OR 97330-3991
(541) 230-1350
Mailing address
2430 NW PROFESSIONAL DR, CORVALLIS, OR 97330-3991
(541) 452-0180
(541) 427-4435
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
03/11/2024
Last updated
11/25/2024
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