Organization
NW DERMATOLOGY AND RESEARCH CENTER, LLC
Active
Other names
NW Dermatology Institute
Organization subpart
No
Provider details
NPI number
Authorized official
NISHA SHAH DESAI MD (OWNER)
(503) 223-1933
Entity
Organization
Contact information
Practice address
2525 NW LOVEJOY ST STE 400, PORTLAND, OR 97210-2865
(503) 223-1933
Mailing address
2525 NW LOVEJOY ST STE 400, PORTLAND, OR 97210-2865
(503) 223-1933
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
08/11/2011
Last updated
05/08/2020
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